Healthcare Provider Details

I. General information

NPI: 1750069183
Provider Name (Legal Business Name): BUFFALO GROVE CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 09/02/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 KAINER AVE
BARRINGTON IL
60010-4646
US

IV. Provider business mailing address

303 KAINER AVE
BARRINGTON IL
60010-4646
US

V. Phone/Fax

Practice location:
  • Phone: 847-226-8172
  • Fax:
Mailing address:
  • Phone: 847-226-8172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHN W JUNG
Title or Position: CEO
Credential: DC
Phone: 847-226-8172