Healthcare Provider Details

I. General information

NPI: 1295752939
Provider Name (Legal Business Name): EMMERLING CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5202 WASHINGTON ST SUITE 1
DOWNERS GROVE IL
60515-4772
US

IV. Provider business mailing address

5202 WASHINGTON ST SUITE 1
DOWNERS GROVE IL
60515-4772
US

V. Phone/Fax

Practice location:
  • Phone: 630-968-0555
  • Fax:
Mailing address:
  • Phone: 630-968-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SCOTT S EMMERLING
Title or Position: PRESIDENT
Credential: D.C.
Phone: 630-968-0555