Provider Demographics
NPI:1851413116
Name:ARNOLD FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:ARNOLD FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-223-8343
Mailing Address - Street 1:100 N ATKINSON RD
Mailing Address - Street 2:STE. 104A
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7801
Mailing Address - Country:US
Mailing Address - Phone:847-223-8343
Mailing Address - Fax:847-223-8377
Practice Address - Street 1:100 N ATKINSON RD
Practice Address - Street 2:STE. 104A
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7801
Practice Address - Country:US
Practice Address - Phone:847-223-8343
Practice Address - Fax:847-223-8377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4932401OtherBCBS