Provider Demographics
| NPI: | 1871958561 |
|---|---|
| Name: | SCHUH CHIROPRACTIC,LLC |
| Entity type: | Organization |
| Organization Name: | SCHUH CHIROPRACTIC,LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | DANIEL |
| Authorized Official - Middle Name: | R |
| Authorized Official - Last Name: | SCHUH |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DC |
| Authorized Official - Phone: | 224-848-4588 |
| Mailing Address - Street 1: | 108 S WYNSTONE PARK DR |
| Mailing Address - Street 2: | SUITE 102 |
| Mailing Address - City: | N BARRINGTON |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60010-6923 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 224-848-4588 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 108 S WYNSTONE PARK DR |
| Practice Address - Street 2: | SUITE 102 |
| Practice Address - City: | N BARRINGTON |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60010-6923 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 224-848-4588 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-12-22 |
| Last Update Date: | 2016-09-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| IL | 038011425 | 111N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |