Provider Demographics
NPI:1659544278
Name:YOUKER, CORAL (DC)
Entity Type:Individual
Prefix:DR
First Name:CORAL
Middle Name:
Last Name:YOUKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 W. 22ND ST.
Mailing Address - Street 2:SUITE 37
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523
Mailing Address - Country:US
Mailing Address - Phone:630-575-0600
Mailing Address - Fax:630-575-0617
Practice Address - Street 1:2605 W 22ND ST
Practice Address - Street 2:SUITE 37
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1230
Practice Address - Country:US
Practice Address - Phone:630-575-0600
Practice Address - Fax:630-575-0617
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-005336111N00000X
IL198-000237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist