Healthcare Provider Details

I. General information

NPI: 1316593163
Provider Name (Legal Business Name): EVANSTON FAMILY CHIROPRACTIC AND WELLNESS CENTER, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2019
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 MAIN ST
EVANSTON IL
60202-1701
US

IV. Provider business mailing address

705 MAIN ST
EVANSTON IL
60202-1701
US

V. Phone/Fax

Practice location:
  • Phone: 847-732-8876
  • Fax:
Mailing address:
  • Phone: 847-732-8876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. SEAN DEVIN CURRY
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 847-732-8876