Healthcare Provider Details

I. General information

NPI: 1922015023
Provider Name (Legal Business Name): ALTERNATIVE CARE ASSOCIATES S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7775 S HARLEM AVE
BRIDGEVIEW IL
60455-1318
US

IV. Provider business mailing address

7775 S HARLEM AVE
BRIDGEVIEW IL
60455-1318
US

V. Phone/Fax

Practice location:
  • Phone: 708-598-2088
  • Fax: 708-598-2248
Mailing address:
  • Phone: 708-598-2088
  • Fax: 708-598-2248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038003549
License Number StateIL

VIII. Authorized Official

Name: BRUCE V MILKINT
Title or Position: OWNER
Credential: DC
Phone: 708-598-2088