Provider Demographics
NPI:1134184039
Name:HOKLAS, CHRISTOPHER JAMES (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:HOKLAS
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 1:355 E IL ROUTE 83
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-4250
Mailing Address - Country:US
Mailing Address - Phone:847-566-8777
Mailing Address - Fax:847-566-3240
Practice Address - Street 1:355 E IL ROUTE 83
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-4250
Practice Address - Country:US
Practice Address - Phone:847-566-8777
Practice Address - Fax:847-566-3240
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4919392OtherBCBS PROVIDER NUMBER
IL364114806Medicare UPIN
IL567080Medicare ID - Type Unspecified