Provider Demographics
NPI:1881729374
Name:MCCAHILL CHIROPRACTIC INC.
Entity type:Organization
Organization Name:MCCAHILL CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCCAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-429-5904
Mailing Address - Street 1:16345 HARLEM AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2589
Mailing Address - Country:US
Mailing Address - Phone:708-429-5904
Mailing Address - Fax:708-429-0094
Practice Address - Street 1:16345 S HARLEM AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-3368
Practice Address - Country:US
Practice Address - Phone:708-429-5904
Practice Address - Fax:708-429-0094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038007077111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU37254Medicare UPIN
IL212660Medicare ID - Type UnspecifiedMEDICARE NUMBER