Healthcare Provider Details

I. General information

NPI: 1023650199
Provider Name (Legal Business Name): EYLES CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 04/16/2020
Certification Date: 04/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4614 W ALGONQUIN RD
LAKE IN THE HILLS IL
60156-6722
US

IV. Provider business mailing address

4614 W ALGONQUIN RD
LAKE IN THE HILLS IL
60156-6722
US

V. Phone/Fax

Practice location:
  • Phone: 224-333-0711
  • Fax: 224-333-0579
Mailing address:
  • Phone: 224-333-0711
  • Fax: 224-333-0579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ELIZABETH EYLES
Title or Position: PRESIDENT
Credential: DC
Phone: 224-333-0071