Healthcare Provider Details

I. General information

NPI: 1538187109
Provider Name (Legal Business Name): WEST SUBURBAN HEALTHCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 N 2ND ST
GENEVA IL
60134-2224
US

IV. Provider business mailing address

PO BOX 8164
BARTLETT IL
60103-8164
US

V. Phone/Fax

Practice location:
  • Phone: 630-289-2220
  • Fax: 630-289-7406
Mailing address:
  • Phone: 630-289-2220
  • Fax: 630-289-7406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. DORRAINE ADAMS
Title or Position: OFFICE MANGER
Credential: LMT
Phone: 630-289-2220