Provider Demographics
NPI:1740223049
Name:LINKER, JUSTIN ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:ALAN
Last Name:LINKER
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 1:42 W SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3502
Mailing Address - Country:US
Mailing Address - Phone:847-490-9090
Mailing Address - Fax:847-705-7347
Practice Address - Street 1:42 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3502
Practice Address - Country:US
Practice Address - Phone:847-490-9090
Practice Address - Fax:847-705-7347
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01638495OtherBLUE SHIELD
IL038009935Medicaid
IL207742Medicare PIN
IL01638495OtherBLUE SHIELD