Provider Demographics
NPI:1770882649
Name:FELDE CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:FELDE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FELDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-277-2990
Mailing Address - Street 1:9738 N IL ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9323
Mailing Address - Country:US
Mailing Address - Phone:847-277-2990
Mailing Address - Fax:847-277-2991
Practice Address - Street 1:10705 RUTH RD
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-7156
Practice Address - Country:US
Practice Address - Phone:847-802-4866
Practice Address - Fax:847-939-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty