Provider Demographics
| NPI: | 1083801187 |
|---|---|
| Name: | CHIROFIT, LLC |
| Entity type: | Organization |
| Organization Name: | CHIROFIT, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | NIKKI |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MIGLORE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 847-382-3194 |
| Mailing Address - Street 1: | 303 N NORTHWEST HWY |
| Mailing Address - Street 2: | SUITE 105 |
| Mailing Address - City: | BARRINGTON |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60010-3396 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 847-382-3194 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 303 N NORTHWEST HWY |
| Practice Address - Street 2: | SUITE 105 |
| Practice Address - City: | BARRINGTON |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60010-3396 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 847-382-3194 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-10-02 |
| Last Update Date: | 2008-04-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty | |
| No | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty | Group - Single Specialty |