Provider Demographics
NPI:1891803375
Name:GINSBERG CHIROPRACTIC PC
Entity Type:Organization
Organization Name:GINSBERG CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:GINSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-232-6400
Mailing Address - Street 1:1795 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4709
Mailing Address - Country:US
Mailing Address - Phone:630-232-6400
Mailing Address - Fax:630-232-6404
Practice Address - Street 1:1795 W STATE ST
Practice Address - Street 2:SUITE D
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4709
Practice Address - Country:US
Practice Address - Phone:630-232-6400
Practice Address - Fax:630-232-6404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
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
IL24505324OtherBLUE CROSS BLUE SHIELD
IL24505324OtherBLUE CROSS BLUE SHIELD