Provider Demographics
NPI:1689771503
Name:KAPOOR, RISHI (DC)
Entity Type:Individual
Prefix:DR
First Name:RISHI
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1678
Mailing Address - Country:US
Mailing Address - Phone:630-983-8455
Mailing Address - Fax:630-983-8452
Practice Address - Street 1:3101 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1678
Practice Address - Country:US
Practice Address - Phone:630-983-8455
Practice Address - Fax:630-983-8452
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1634584OtherBCBS
IL1634584OtherBCBS
IL210344Medicare ID - Type Unspecified