Provider Demographics
NPI:1689695678
Name:FEKETE, BARBORA (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBORA
Middle Name:
Last Name:FEKETE
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 1:426 W BARRY AVE
Mailing Address - Street 2:#403
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5546
Mailing Address - Country:US
Mailing Address - Phone:630-336-1835
Mailing Address - Fax:
Practice Address - Street 1:1406 PARK AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-3529
Practice Address - Country:US
Practice Address - Phone:708-756-3200
Practice Address - Fax:708-756-3222
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor