Healthcare Provider Details

I. General information

NPI: 1992014666
Provider Name (Legal Business Name): TOENSING FAMILY CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
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 STE 167
NAPERVILLE IL
60564-4721
US

V. Phone/Fax

Practice location:
  • Phone: 630-857-3542
  • Fax: 630-857-3549
Mailing address:
  • Phone: 630-857-3542
  • Fax: 630-857-3549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038010184
License Number StateIL

VIII. Authorized Official

Name: KOREY LYNN TOENSING
Title or Position: PRESIDENT
Credential: DC
Phone: 630-857-3542