Healthcare Provider Details

I. General information

NPI: 1730268954
Provider Name (Legal Business Name): DAVID A FRUHAUF D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S SCHMALE RD SUITE #110
CAROL STREAM IL
60188-2794
US

IV. Provider business mailing address

350 S SCHMALE RD SUITE #110
CAROL STREAM IL
60188-2794
US

V. Phone/Fax

Practice location:
  • Phone: 630-871-0879
  • Fax: 630-871-0899
Mailing address:
  • Phone: 630-871-0879
  • Fax: 630-871-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: