Provider Demographics
NPI:1447299441
Name:THE CHIROPRACTIC WAY S.C.
Entity type:Organization
Organization Name:THE CHIROPRACTIC WAY S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:DAPKUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-927-2929
Mailing Address - Street 1:25100 WRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5815
Mailing Address - Country:US
Mailing Address - Phone:815-609-6843
Mailing Address - Fax:
Practice Address - Street 1:3265 1/2 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6225
Practice Address - Country:US
Practice Address - Phone:773-927-2929
Practice Address - Fax:773-927-2928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634028OtherBC/BS
IL01634028OtherBC/BS