Provider Demographics
NPI:1811188113
Name:ZACK-BELL, MEGHAN BROOKE (DC)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:BROOKE
Last Name:ZACK-BELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MEGHAN
Other - Middle Name:BROOKE
Other - Last Name:ZACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:126 N OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1356
Mailing Address - Country:US
Mailing Address - Phone:708-848-8488
Mailing Address - Fax:708-848-8480
Practice Address - Street 1:126 N OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1356
Practice Address - Country:US
Practice Address - Phone:708-848-8488
Practice Address - Fax:708-848-8480
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor