Provider Demographics
NPI:1720423668
Name:SWEILEM, ADI (DC)
Entity Type:Individual
Prefix:DR
First Name:ADI
Middle Name:
Last Name:SWEILEM
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 1:6315 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2848
Mailing Address - Country:US
Mailing Address - Phone:847-966-1955
Mailing Address - Fax:847-296-9000
Practice Address - Street 1:1111 W DUNDEE RD STE 4
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-3936
Practice Address - Country:US
Practice Address - Phone:847-459-0321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor