Provider Demographics
NPI:1740711670
Name:WISCHHOVER, SEAN CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:CHRISTOPHER
Last Name:WISCHHOVER
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 1:7140 W PAULING RD
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-9322
Mailing Address - Country:US
Mailing Address - Phone:708-600-1529
Mailing Address - Fax:
Practice Address - Street 1:4532 TAMIAMI TRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6713
Practice Address - Country:US
Practice Address - Phone:708-600-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor