Provider Demographics
NPI:1578385159
Name:SALINAS AGUILAR, ANDREA BERENIZ (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:BERENIZ
Last Name:SALINAS AGUILAR
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 1:932 N WRIGHT ST STE 152
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3601
Mailing Address - Country:US
Mailing Address - Phone:630-806-0458
Mailing Address - Fax:
Practice Address - Street 1:932 N WRIGHT ST STE 152
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3601
Practice Address - Country:US
Practice Address - Phone:630-447-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038014207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor