Provider Demographics
NPI:1184784894
Name:HARMONY CHIROPRACTIC ARTS INC
Entity type:Organization
Organization Name:HARMONY CHIROPRACTIC ARTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STAVROS
Authorized Official - Last Name:MENTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:309-786-7171
Mailing Address - Street 1:1770 44TH STREET
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-3916
Mailing Address - Country:US
Mailing Address - Phone:309-786-7171
Mailing Address - Fax:309-786-9935
Practice Address - Street 1:1770 44TH STREET
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-3916
Practice Address - Country:US
Practice Address - Phone:309-786-7171
Practice Address - Fax:309-786-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5287111N00000X
PADC004823L111N00000X
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL8126564OtherBLUE CROSS BLUE SHIELD
IA0930446Medicaid
IA0930446Medicaid
IL8126564OtherBLUE CROSS BLUE SHIELD