Provider Demographics
NPI:1871105965
Name:SHELEST CHIROPRACTIC & ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:SHELEST CHIROPRACTIC & ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHELEST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-917-2642
Mailing Address - Street 1:16521 WINDING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-9614
Mailing Address - Country:US
Mailing Address - Phone:847-917-2642
Mailing Address - Fax:
Practice Address - Street 1:16521 WINDING CREEK RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-9614
Practice Address - Country:US
Practice Address - Phone:847-917-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty