Provider Demographics
NPI:1609602689
Name:2X4 CHIROPRACTIC
Entity type:Organization
Organization Name:2X4 CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:ISABELLA
Authorized Official - Last Name:DROST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:224-505-9464
Mailing Address - Street 1:840 MICHIGAN AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2588
Mailing Address - Country:US
Mailing Address - Phone:224-505-9464
Mailing Address - Fax:
Practice Address - Street 1:621 MADISON ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-2203
Practice Address - Country:US
Practice Address - Phone:224-505-9464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service