Healthcare Provider Details

I. General information

NPI: 1043286081
Provider Name (Legal Business Name): DAVID A SHINHERR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 STATION DR STE 100
CRYSTAL LAKE IL
60014
US

IV. Provider business mailing address

360 STATION DR STE 100
CRYSTAL LAKE IL
60014-7994
US

V. Phone/Fax

Practice location:
  • Phone: 847-802-7070
  • Fax: 815-477-5878
Mailing address:
  • Phone: 847-802-7070
  • Fax: 815-477-5878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number008133
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038012345
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: