Healthcare Provider Details

I. General information

NPI: 1962484600
Provider Name (Legal Business Name): ANDREA C. NOEY D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16151 WEBER RD STE 210
CREST HILL IL
60403-0865
US

IV. Provider business mailing address

16151 WEBER RD STE 210
CREST HILL IL
60403-0865
US

V. Phone/Fax

Practice location:
  • Phone: 815-733-5282
  • Fax: 815-733-5283
Mailing address:
  • Phone: 815-733-5282
  • Fax: 815-733-5283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.009542
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number038009542
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: