Provider Demographics
NPI:1356572564
Name:HOVER, JOSH (DC)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:HOVER
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 1:8424 SKOKIE BLVD
Mailing Address - Street 2:STE. 207
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-2568
Mailing Address - Country:US
Mailing Address - Phone:847-677-9355
Mailing Address - Fax:
Practice Address - Street 1:8424 SKOKIE BLVD
Practice Address - Street 2:STE. 207
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2568
Practice Address - Country:US
Practice Address - Phone:847-677-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-011357111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician