Provider Demographics
NPI:1942498332
Name:ABSOLUTE HEALTHCARE CHIROPRACTIC LTD.
Entity Type:Organization
Organization Name:ABSOLUTE HEALTHCARE CHIROPRACTIC LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GERWIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-790-1422
Mailing Address - Street 1:585 PENNSYLVANIA AVE
Mailing Address - Street 2:101
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4152
Mailing Address - Country:US
Mailing Address - Phone:630-790-1422
Mailing Address - Fax:630-790-1298
Practice Address - Street 1:585 PENNSYLVANIA AVE
Practice Address - Street 2:101
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4152
Practice Address - Country:US
Practice Address - Phone:630-790-1422
Practice Address - Fax:630-790-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2009-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1811074396OtherINDIVIDUAL PROVIDER NPI
IL1811074396OtherINDIVIDUAL PROVIDER NPI