Provider Demographics
NPI:1972671246
Name:HOWARD, CINDY M (DC, DABCI)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:M
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DC, DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18309 DISTINCTIVE DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9461
Mailing Address - Country:US
Mailing Address - Phone:708-570-3987
Mailing Address - Fax:
Practice Address - Street 1:18309 DISTINCTIVE DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9461
Practice Address - Country:US
Practice Address - Phone:708-570-3987
Practice Address - Fax:708-479-0094
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU80530Medicare UPIN