Provider Demographics
NPI:1447522362
Name:CHIRO CARE HEALTH CENTERS INC
Entity type:Organization
Organization Name:CHIRO CARE HEALTH CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:D
Authorized Official - Last Name:GLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-820-9500
Mailing Address - Street 1:1995 SPRINGBROOK SQUARE DR
Mailing Address - Street 2:UNIT 109
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-5951
Mailing Address - Country:US
Mailing Address - Phone:630-820-9500
Mailing Address - Fax:
Practice Address - Street 1:1995 SPRINGBROOK SQUARE DR
Practice Address - Street 2:UNIT 109
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-5951
Practice Address - Country:US
Practice Address - Phone:630-820-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011894111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty