Provider Demographics
NPI:1669270146
Name:AURACLE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:AURACLE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DYCUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-212-5021
Mailing Address - Street 1:7432 HANCOCK DR
Mailing Address - Street 2:
Mailing Address - City:WONDER LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60097-9200
Mailing Address - Country:US
Mailing Address - Phone:815-728-7049
Mailing Address - Fax:
Practice Address - Street 1:7432 HANCOCK DR
Practice Address - Street 2:
Practice Address - City:WONDER LAKE
Practice Address - State:IL
Practice Address - Zip Code:60097-9200
Practice Address - Country:US
Practice Address - Phone:815-728-7049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center