Provider Demographics
NPI:1679008239
Name:NELLI KAPLUNSKAYA DC LLC
Entity Type:Organization
Organization Name:NELLI KAPLUNSKAYA DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:NELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLUNSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-338-7963
Mailing Address - Street 1:1845 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-1148
Mailing Address - Country:US
Mailing Address - Phone:847-885-8808
Mailing Address - Fax:
Practice Address - Street 1:1845 W GOLF RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-1148
Practice Address - Country:US
Practice Address - Phone:847-885-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400373210Medicare PIN