Provider Demographics
NPI:1205947538
Name:HEALTH SOLUTIONS PRECISION SPINAL CARE LLC
Entity type:Organization
Organization Name:HEALTH SOLUTIONS PRECISION SPINAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-329-7501
Mailing Address - Street 1:5550 TOUHY AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3253
Mailing Address - Country:US
Mailing Address - Phone:847-329-7501
Mailing Address - Fax:847-329-7507
Practice Address - Street 1:5550 TOUHY AVE
Practice Address - Street 2:STE 202
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3253
Practice Address - Country:US
Practice Address - Phone:847-329-7501
Practice Address - Fax:847-329-7507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1633376OtherBCBSIL
IL1633376OtherBCBSIL