Provider Demographics
NPI:1841364395
Name:CARRION, ALDRIN C (DC)
Entity type:Individual
Prefix:DR
First Name:ALDRIN
Middle Name:C
Last Name:CARRION
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 1:4111 W 26 ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-5033
Mailing Address - Country:US
Mailing Address - Phone:773-542-1111
Mailing Address - Fax:
Practice Address - Street 1:4111 W 26TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-4313
Practice Address - Country:US
Practice Address - Phone:773-542-1111
Practice Address - Fax:773-542-7100
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor