Provider Demographics
NPI:1790888246
Name:HOURIGAN, CAROL L (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:L
Last Name:HOURIGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 WEST VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-2261
Mailing Address - Country:US
Mailing Address - Phone:217-347-7070
Mailing Address - Fax:217-347-6670
Practice Address - Street 1:511 WEST VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2261
Practice Address - Country:US
Practice Address - Phone:217-347-7070
Practice Address - Fax:217-347-7074
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
180864OtherHEALTHLINK
2582007OtherBLUE CROSS BLUE SHIELD
180864OtherHEALTHLINK
U37037Medicare UPIN