Healthcare Provider Details

I. General information

NPI: 1205853231
Provider Name (Legal Business Name): CHANDLER'S HEALTH EMPORIUM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 S WABASH AVE SUITE 203
CHICAGO IL
60616-2955
US

IV. Provider business mailing address

2850 S WABASH AVE SUITE 203
CHICAGO IL
60616-2955
US

V. Phone/Fax

Practice location:
  • Phone: 312-225-5353
  • Fax: 312-225-5337
Mailing address:
  • Phone: 312-225-5353
  • Fax: 312-225-5337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MILTON CHANDLER II
Title or Position: PRESIDENT
Credential: D.N.
Phone: 312-225-5353