Provider Demographics
NPI:1659550465
Name:HEALTHFIRST CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:HEALTHFIRST CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FIEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-590-1132
Mailing Address - Street 1:1804 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3910
Mailing Address - Country:US
Mailing Address - Phone:847-590-1132
Mailing Address - Fax:847-590-0036
Practice Address - Street 1:1804 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3910
Practice Address - Country:US
Practice Address - Phone:847-590-1132
Practice Address - Fax:847-590-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038335944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01682285OtherBLUE CROSS BLUE SHIELD
IL798060Medicare PIN