Provider Demographics
NPI:1841321536
Name:TOSSING, JUSTIN (DC)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:TOSSING
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 1:2420 RAVINE WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-7650
Mailing Address - Country:US
Mailing Address - Phone:847-657-9877
Mailing Address - Fax:847-657-9878
Practice Address - Street 1:2420 RAVINE WAY
Practice Address - Street 2:SUITE 400
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-7650
Practice Address - Country:US
Practice Address - Phone:847-657-9877
Practice Address - Fax:847-657-9877
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK00832Medicare ID - Type Unspecified
ILU95211Medicare UPIN