Provider Demographics
NPI:1770148207
Name:FLORIAN CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:FLORIAN CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-623-1840
Mailing Address - Street 1:557 GREENLEAF ST
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5728
Mailing Address - Country:US
Mailing Address - Phone:847-623-1122
Mailing Address - Fax:
Practice Address - Street 1:557 GREENLEAF ST
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:IL
Practice Address - Zip Code:60085-5728
Practice Address - Country:US
Practice Address - Phone:847-623-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty