Provider Demographics
NPI:1932128857
Name:MCANDREWS, PATRICK WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:WILLIAM
Last Name:MCANDREWS
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 1:1767 W OGDEN AVE STE 143
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5008
Mailing Address - Country:US
Mailing Address - Phone:630-355-8988
Mailing Address - Fax:630-355-8953
Practice Address - Street 1:1767 W OGDEN AVE STE 143
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5008
Practice Address - Country:US
Practice Address - Phone:630-355-8988
Practice Address - Fax:303-558-9536
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.006416111N00000X
IL038-006416111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02290078OtherBC/BS OF IL
IL911860Medicare ID - Type Unspecified
IL02290078OtherBC/BS OF IL