Provider Demographics
NPI:1265752646
Name:MARKLEY INTEGRATIVE HEALTHCARE SC
Entity type:Organization
Organization Name:MARKLEY INTEGRATIVE HEALTHCARE SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:MARKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-654-9300
Mailing Address - Street 1:40 S CLAY ST
Mailing Address - Street 2:241E
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3257
Mailing Address - Country:US
Mailing Address - Phone:630-654-9300
Mailing Address - Fax:630-654-8911
Practice Address - Street 1:40 S CLAY ST
Practice Address - Street 2:241E
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3257
Practice Address - Country:US
Practice Address - Phone:630-654-9300
Practice Address - Fax:630-654-8911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.010857111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty