Healthcare Provider Details

I. General information

NPI: 1780647446
Provider Name (Legal Business Name): THOMAS J LINDSTROM PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 W DOWNER PL SUITE 201
AURORA IL
60506-4379
US

IV. Provider business mailing address

1965 W DOWNER PL SUITE 201
AURORA IL
60506-4379
US

V. Phone/Fax

Practice location:
  • Phone: 630-896-3377
  • Fax: 630-896-2120
Mailing address:
  • Phone: 630-896-3377
  • Fax: 630-896-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. THOMAS JOHN LINDSTROM
Title or Position: OWNER
Credential: D.C.
Phone: 630-896-3377