Provider Demographics
NPI:1639732357
Name:WHITNEY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:WHITNEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-922-7777
Mailing Address - Street 1:2860 SHOWPLACE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5059
Mailing Address - Country:US
Mailing Address - Phone:630-922-7777
Mailing Address - Fax:630-922-8091
Practice Address - Street 1:2860 SHOWPLACE DR STE 110
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5059
Practice Address - Country:US
Practice Address - Phone:630-922-7777
Practice Address - Fax:630-922-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty