Provider Demographics
NPI:1881812170
Name:ARSHAVSKY CHIROPRACTIC AND ACUPUNCTURE CLINIC, PC
Entity type:Organization
Organization Name:ARSHAVSKY CHIROPRACTIC AND ACUPUNCTURE CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARSHAVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-797-5037
Mailing Address - Street 1:3233 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 100W
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1557
Mailing Address - Country:US
Mailing Address - Phone:847-797-5037
Mailing Address - Fax:224-201-6545
Practice Address - Street 1:3233 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 100W
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1557
Practice Address - Country:US
Practice Address - Phone:847-797-5037
Practice Address - Fax:224-210-6545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL4064Medicare PIN
ILU 70553Medicare UPIN
IL438630Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER