Provider Demographics
NPI:1396982518
Name:VANWORMER, CARA DENAE (DC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:DENAE
Last Name:VANWORMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 E OGDEN AVE
Mailing Address - Street 2:1ST FLOOR, SUITE B
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2460
Mailing Address - Country:US
Mailing Address - Phone:630-537-0758
Mailing Address - Fax:630-708-7561
Practice Address - Street 1:230 E OGDEN AVE
Practice Address - Street 2:1ST FLOOR, SUITE B
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2460
Practice Address - Country:US
Practice Address - Phone:630-537-0758
Practice Address - Fax:630-708-7561
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor