Healthcare Provider Details
I. General information
NPI: 1881749109
Provider Name (Legal Business Name): CORRECTIVE CHIROPRACTIC CENTER, LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
612 E GOLF RD
ARLINGTON HEIGHTS IL
60005-4061
US
IV. Provider business mailing address
612 E GOLF RD
ARLINGTON HEIGHTS IL
60005-4061
US
V. Phone/Fax
- Phone: 847-718-0071
- Fax: 847-718-0103
- Phone: 847-718-0071
- Fax: 847-718-0103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
TROY
JAMES
SCHMICK
Title or Position: OWNER
Credential: D.C.
Phone: 847-718-0071