Healthcare Provider Details

I. General information

NPI: 1396966362
Provider Name (Legal Business Name): IDEAL FAMILY HEALTH CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 S ARLINGTON HEIGHTS RD STE 110
ARLINGTON HEIGHTS IL
60005-4100
US

IV. Provider business mailing address

2010 S ARLINGTON HEIGHTS RD STE 110
ARLINGTON HEIGHTS IL
60005-4100
US

V. Phone/Fax

Practice location:
  • Phone: 847-357-0636
  • Fax: 847-357-0637
Mailing address:
  • Phone: 847-357-0636
  • Fax: 847-357-0637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038009272
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1457633042
License Number StateIL

VIII. Authorized Official

Name: MRS. CHANG RUNG HAN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-357-0636