Healthcare Provider Details

I. General information

NPI: 1265843841
Provider Name (Legal Business Name): BUCHAR CHIRO NAPERVILLE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 08/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 BOOK RD STE 167
NAPERVILLE IL
60564-4721
US

IV. Provider business mailing address

3075 BOOK RD SUITE 167
NAPERVILLE IL
60564-4720
US

V. Phone/Fax

Practice location:
  • Phone: 630-820-1330
  • Fax:
Mailing address:
  • Phone: 630-820-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038010110
License Number StateIL

VIII. Authorized Official

Name: DR. WILLIAM BUCHAR
Title or Position: CEO
Credential: D.C.
Phone: 630-820-1330