Provider Demographics
NPI:1801010665
Name:NORLEY, PAMELA (DC)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:NORLEY
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 1:500 PARK AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-6556
Mailing Address - Country:US
Mailing Address - Phone:847-265-2225
Mailing Address - Fax:
Practice Address - Street 1:500 PARK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-6556
Practice Address - Country:US
Practice Address - Phone:847-265-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor