Provider Demographics
NPI:1649289125
Name:QIN ACUPUNCTURE & CHIROPRACTIC CLINIC INC.
Entity type:Organization
Organization Name:QIN ACUPUNCTURE & CHIROPRACTIC CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUANG
Authorized Official - Middle Name:
Authorized Official - Last Name:QIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DC
Authorized Official - Phone:847-202-9988
Mailing Address - Street 1:855 E PALATINE RD STE 170
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-5500
Mailing Address - Country:US
Mailing Address - Phone:847-202-9988
Mailing Address - Fax:847-202-9795
Practice Address - Street 1:855 E PALATINE RD STE 170
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-5500
Practice Address - Country:US
Practice Address - Phone:847-202-9988
Practice Address - Fax:847-202-9795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty