Provider Demographics
NPI:1992884746
Name:ANDREWS CHIROPRACTIC, LTD.
Entity type:Organization
Organization Name:ANDREWS CHIROPRACTIC, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-899-8300
Mailing Address - Street 1:310 E STATE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-1560
Mailing Address - Country:US
Mailing Address - Phone:815-899-8300
Mailing Address - Fax:815-899-8301
Practice Address - Street 1:310 E STATE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-1560
Practice Address - Country:US
Practice Address - Phone:815-899-8300
Practice Address - Fax:815-899-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01932014OtherBC/BS GROUP
IL01932014OtherBC/BS GROUP