Provider Demographics
NPI:1780039370
Name:ADJUST CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ADJUST CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIPALI
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-203-3132
Mailing Address - Street 1:7315 CUMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60133-2616
Mailing Address - Country:US
Mailing Address - Phone:630-830-2060
Mailing Address - Fax:630-448-6687
Practice Address - Street 1:7315 CUMBERLAND DR
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-2616
Practice Address - Country:US
Practice Address - Phone:630-830-2060
Practice Address - Fax:630-448-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
IL038011631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty