Provider Demographics
NPI:1841523438
Name:SCHEETZ CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:SCHEETZ CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:SCHEETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-534-5248
Mailing Address - Street 1:5601 W MONEE MANHATTAN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-8863
Mailing Address - Country:US
Mailing Address - Phone:708-534-5248
Mailing Address - Fax:708-534-5519
Practice Address - Street 1:25646 S GOVERNORS HWY UNIT A
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-8921
Practice Address - Country:US
Practice Address - Phone:708-534-5248
Practice Address - Fax:708-534-5519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU93977Medicare UPIN
IL204771Medicare PIN