Healthcare Provider Details

I. General information

NPI: 1568679538
Provider Name (Legal Business Name): NATURAL CHIROPRACTIC HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423U N. BOLINGBROOK DR.
BOLINGBROOK IL
60440-1954
US

IV. Provider business mailing address

4248 BELLE AIRE LN
DOWNERS GROVE IL
60515-1914
US

V. Phone/Fax

Practice location:
  • Phone: 630-771-9090
  • Fax: 630-771-9025
Mailing address:
  • Phone: 630-324-4730
  • Fax: 630-324-4751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ANDREA C NOEY
Title or Position: OWNER
Credential: D.C.
Phone: 630-771-9090