Provider Demographics
NPI:1932239043
Name:HAUGH, CHERYL E (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:E
Last Name:HAUGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 S OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1217
Mailing Address - Country:US
Mailing Address - Phone:708-848-9900
Mailing Address - Fax:708-848-9902
Practice Address - Street 1:831 S OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-1217
Practice Address - Country:US
Practice Address - Phone:708-848-9900
Practice Address - Fax:708-848-9902
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL768250Medicare ID - Type Unspecified