Healthcare Provider Details

I. General information

NPI: 1063605442
Provider Name (Legal Business Name): LONDOS FAMILY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7006 HUNTLEY DR
HUNTLEY IL
60010
US

IV. Provider business mailing address

7006 HUNTLEY DR
HUNTLEY IL
60010
US

V. Phone/Fax

Practice location:
  • Phone: 847-836-7101
  • Fax: 847-836-7047
Mailing address:
  • Phone: 847-836-7101
  • Fax: 847-836-7047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AARON LONDOS
Title or Position: DOCTOR
Credential:
Phone: 847-836-7101