Provider Demographics
NPI:1184706822
Name:TEYF, ILANA B (DC)
Entity type:Individual
Prefix:
First Name:ILANA
Middle Name:B
Last Name:TEYF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ILANA
Other - Middle Name:
Other - Last Name:BLEYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:607 LOUIS DR STE B
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2843
Mailing Address - Country:US
Mailing Address - Phone:215-672-4700
Mailing Address - Fax:215-672-2411
Practice Address - Street 1:607 LOUIS DR STE B
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2843
Practice Address - Country:US
Practice Address - Phone:215-672-4700
Practice Address - Fax:215-672-2411
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC8633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01898004Medicaid
PA056937Medicare ID - Type Unspecified
PA01898004Medicaid