Provider Demographics
NPI:1295753952
Name:LONDOS, AARON JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:JAMES
Last Name:LONDOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 HUNTLEY RD
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-3619
Mailing Address - Country:US
Mailing Address - Phone:847-836-7101
Mailing Address - Fax:847-836-7047
Practice Address - Street 1:7006 HUNTLEY RD
Practice Address - Street 2:
Practice Address - City:CARPENTERSVILLE
Practice Address - State:IL
Practice Address - Zip Code:60110-3619
Practice Address - Country:US
Practice Address - Phone:847-836-7101
Practice Address - Fax:847-836-7047
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK25880Medicare PIN