Healthcare Provider Details

I. General information

NPI: 1346358629
Provider Name (Legal Business Name): MICHAEL A. ALLGEIER JR. DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 07/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 W POLK ST SUITE G-1
CHICAGO IL
60605-2000
US

IV. Provider business mailing address

47 W POLK ST SUITE G-1
CHICAGO IL
60605-2000
US

V. Phone/Fax

Practice location:
  • Phone: 312-922-3011
  • Fax: 312-922-5860
Mailing address:
  • Phone: 312-519-8412
  • Fax: 312-922-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-010754
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: