Healthcare Provider Details

I. General information

NPI: 1033301775
Provider Name (Legal Business Name): HIMLEY CHIROPRACTIC, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 STONEGATE RD
ALGONQUIN IL
60102-5614
US

IV. Provider business mailing address

265 STONEGATE RD
ALGONQUIN IL
60102-5614
US

V. Phone/Fax

Practice location:
  • Phone: 847-658-4900
  • Fax: 847-658-8306
Mailing address:
  • Phone: 847-658-4900
  • Fax: 847-658-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. JOHN W HIMLEY
Title or Position: OWNER
Credential: DC
Phone: 847-658-4900