Provider Demographics
NPI:1558619304
Name:ACUPUNCTURE CHIROPRACTIC CLINIC
Entity type:Organization
Organization Name:ACUPUNCTURE CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SADLEIR
Authorized Official - Suffix:
Authorized Official - Credentials:NCCAOM, NADA
Authorized Official - Phone:847-870-0280
Mailing Address - Street 1:1010 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3168
Mailing Address - Country:US
Mailing Address - Phone:847-870-0280
Mailing Address - Fax:847-870-0282
Practice Address - Street 1:1010 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3168
Practice Address - Country:US
Practice Address - Phone:847-870-0280
Practice Address - Fax:847-870-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000199171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty