Provider Demographics
NPI:1952312142
Name:SAILOR, BRIAN L (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:L
Last Name:SAILOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 W 75TH ST STE 177
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-7207
Mailing Address - Country:US
Mailing Address - Phone:630-369-2480
Mailing Address - Fax:630-369-4188
Practice Address - Street 1:931 W 75TH ST STE 177
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-7207
Practice Address - Country:US
Practice Address - Phone:630-369-2480
Practice Address - Fax:630-369-4188
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02207136OtherBCBS PROVIDER NUMBER
IL02207136OtherBCBS PROVIDER NUMBER