Provider Demographics
NPI:1922052638
Name:HILLWIG, CARA K (DC)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:K
Last Name:HILLWIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 OLD FOREST RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-4056
Mailing Address - Country:US
Mailing Address - Phone:215-923-2448
Mailing Address - Fax:
Practice Address - Street 1:234 S BRYN MAWR AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2133
Practice Address - Country:US
Practice Address - Phone:215-923-2448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008968111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA081033SXGMedicare ID - Type UnspecifiedPROVIDER IDENTIFICATION #
PAV00498Medicare UPIN