Provider Demographics
NPI:1922015023
Name:ALTERNATIVE CARE ASSOCIATES S.C.
Entity Type:Organization
Organization Name:ALTERNATIVE CARE ASSOCIATES S.C.
Other - Org Name:BURBANK CHIROPRACTIC CENTER, LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:V
Authorized Official - Last Name:MILKINT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-598-2088
Mailing Address - Street 1:7775 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-1318
Mailing Address - Country:US
Mailing Address - Phone:708-598-2088
Mailing Address - Fax:708-598-2248
Practice Address - Street 1:7775 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-1318
Practice Address - Country:US
Practice Address - Phone:708-598-2088
Practice Address - Fax:708-598-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038003549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCM5928OtherRR MEDICARE PIN
IL01682408OtherBC/BS PROVIDER #
IL038003549OtherPROVIDER LICENSE #
IL445910Medicare PIN
ILCM5928OtherRR MEDICARE PIN