Healthcare Provider Details

I. General information

NPI: 1215324744
Provider Name (Legal Business Name): THERAPEUTIC HEALTH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 04/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E OGDEN AVE 1ST FLOOR, SUITE B
HINSDALE IL
60521-2460
US

IV. Provider business mailing address

230 E OGDEN AVE 1ST FLOOR, SUITE B
HINSDALE IL
60521-2460
US

V. Phone/Fax

Practice location:
  • Phone: 630-537-0758
  • Fax: 630-708-7561
Mailing address:
  • Phone: 630-537-0758
  • Fax: 630-708-7561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number038011318
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CARA DENAE VANWORMER
Title or Position: CHIROPRACTIC INTERNIST/OWNER
Credential: D.C., D.A.B.C.I.
Phone: 630-537-0758