Healthcare Provider Details

I. General information

NPI: 1497683775
Provider Name (Legal Business Name): ARIANNA HELENA TSENGOURAS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 BUTTERFIELD RD STE 301N
OAK BROOK IL
60523-1266
US

IV. Provider business mailing address

5544 HARBORSIDE DR
TAMPA FL
33615-3677
US

V. Phone/Fax

Practice location:
  • Phone: 800-613-0922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024447
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: