Provider Demographics
NPI:1821352659
Name:DR. ALENA WILLETTE D.C. PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DR. ALENA WILLETTE D.C. PROFESSIONAL CORPORATION
Other - Org Name:ACCESS CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALENA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-584-0532
Mailing Address - Street 1:537 W WISE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-3814
Mailing Address - Country:US
Mailing Address - Phone:847-584-0532
Mailing Address - Fax:847-584-0537
Practice Address - Street 1:537 W WISE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3814
Practice Address - Country:US
Practice Address - Phone:847-584-0532
Practice Address - Fax:847-584-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty