Provider Demographics
NPI:1871616789
Name:HOWARD FAMILY CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:HOWARD FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:LAVAY
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-442-3227
Mailing Address - Street 1:8409 W CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-1314
Mailing Address - Country:US
Mailing Address - Phone:708-442-3227
Mailing Address - Fax:708-442-3229
Practice Address - Street 1:8409 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:NORTH RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1314
Practice Address - Country:US
Practice Address - Phone:708-442-3227
Practice Address - Fax:708-442-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208074Medicare ID - Type Unspecified3
ILU84280Medicare UPIN
IL01627998Medicare UPIN