Provider Demographics
NPI:1790806412
Name:THE CENTRE FOR CHIROPRACTIC HEALTH, LTD.
Entity Type:Organization
Organization Name:THE CENTRE FOR CHIROPRACTIC HEALTH, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:YON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-268-2680
Mailing Address - Street 1:2340 S HIGHLAND AVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5371
Mailing Address - Country:US
Mailing Address - Phone:630-268-2680
Mailing Address - Fax:630-268-2689
Practice Address - Street 1:2340 S HIGHLAND AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5371
Practice Address - Country:US
Practice Address - Phone:630-268-2680
Practice Address - Fax:630-268-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL65456125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty