Provider Demographics
NPI:1831486125
Name:NATURAL HEALTH CHIROPRACTIC AND WELLNESS LLC
Entity Type:Organization
Organization Name:NATURAL HEALTH CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:NHCW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:CLEMENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-550-4901
Mailing Address - Street 1:1458 E CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5915
Mailing Address - Country:US
Mailing Address - Phone:630-357-0100
Mailing Address - Fax:630-357-0102
Practice Address - Street 1:1458 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5915
Practice Address - Country:US
Practice Address - Phone:630-357-0100
Practice Address - Fax:630-357-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty