Provider Demographics
NPI:1184138752
Name:WINKLE, COURTNEY (DC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:WINKLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:DRENDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:515 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2138
Mailing Address - Country:US
Mailing Address - Phone:630-921-3847
Mailing Address - Fax:630-232-7612
Practice Address - Street 1:515 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2138
Practice Address - Country:US
Practice Address - Phone:630-921-3847
Practice Address - Fax:630-232-7612
Is Sole Proprietor?:No
Enumeration Date:2017-11-19
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
12345678OtherCAQH