Provider Demographics
NPI:1801065354
Name:CRANE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:CRANE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-967-8407
Mailing Address - Street 1:26 N OLD RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2218
Mailing Address - Country:US
Mailing Address - Phone:630-967-8407
Mailing Address - Fax:
Practice Address - Street 1:26 N OLD RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2218
Practice Address - Country:US
Practice Address - Phone:630-967-8407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty