Provider Demographics
NPI:1700208949
Name:NATURAL HEALTH & CHIROPRACTIC SC
Entity Type:Organization
Organization Name:NATURAL HEALTH & CHIROPRACTIC SC
Other - Org Name:CHICAGO INSTITUTE OF NATURAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PROVIER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-908-0845
Mailing Address - Street 1:1201 W ADAMS ST
Mailing Address - Street 2:APT 9
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-2867
Mailing Address - Country:US
Mailing Address - Phone:773-908-0845
Mailing Address - Fax:
Practice Address - Street 1:8 S MICHIGAN AVE
Practice Address - Street 2:SUITE 1420
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3357
Practice Address - Country:US
Practice Address - Phone:312-258-1338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012562111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty