Provider Demographics
NPI:1457599029
Name:KESSLER, CHRISTOPHER BROCK (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BROCK
Last Name:KESSLER
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 1:1300 IROQUOIS AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8553
Mailing Address - Country:US
Mailing Address - Phone:314-488-3743
Mailing Address - Fax:888-891-5022
Practice Address - Street 1:1300 IROQUOIS AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8553
Practice Address - Country:US
Practice Address - Phone:314-488-3743
Practice Address - Fax:888-891-5022
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002436A111NR0400X
IL038.011320111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation