Healthcare Provider Details

I. General information

NPI: 1346924057
Provider Name (Legal Business Name): TRI-CITY HEALTH CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 KANEVILLE RD STE 3
GENEVA IL
60134-2577
US

IV. Provider business mailing address

105 DARTMOUTH CT
GENEVA IL
60134-1738
US

V. Phone/Fax

Practice location:
  • Phone: 630-715-1183
  • Fax:
Mailing address:
  • Phone: 630-677-9750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. AMANDA DRISCOLL
Title or Position: OWNER/DOCTOR
Credential: DC, ND
Phone: 630-677-9750