Provider Demographics
NPI:1457529489
Name:MEETING, JOSEPH ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ROBERT
Last Name:MEETING
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 1:5031 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2611
Mailing Address - Country:US
Mailing Address - Phone:773-580-2030
Mailing Address - Fax:
Practice Address - Street 1:4610 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2184
Practice Address - Country:US
Practice Address - Phone:773-275-5031
Practice Address - Fax:773-345-5031
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1457529489OtherTYPE 1 NPI
IL1437461035OtherTYPE 2 NPI