Provider Demographics
NPI:1891801080
Name:GEISHEKER, ADAM J (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:GEISHEKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E DELAWARE PL
Mailing Address - Street 2:SUITE 401B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5135
Mailing Address - Country:US
Mailing Address - Phone:312-337-7968
Mailing Address - Fax:312-337-4060
Practice Address - Street 1:1 E DELAWARE PL
Practice Address - Street 2:SUITE 401B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5135
Practice Address - Country:US
Practice Address - Phone:312-337-7968
Practice Address - Fax:312-337-4060
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635737OtherBLUE CROSS BLUE SHIELD
ILIL8150003Medicare PIN