Healthcare Provider Details

I. General information

NPI: 1053649079
Provider Name (Legal Business Name): FAMILY CHIROPRACTIC CARE,S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54A ORLAND SQUARE DR
ORLAND PARK IL
60462-3207
US

IV. Provider business mailing address

54A ORLAND SQUARE DR
ORLAND PARK IL
60462-3207
US

V. Phone/Fax

Practice location:
  • Phone: 708-458-7700
  • Fax: 708-777-4779
Mailing address:
  • Phone: 708-458-7700
  • Fax: 708-777-4779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number038006981
License Number StateIL

VIII. Authorized Official

Name: ROBERT J. ZOBOSKI
Title or Position: PRESIDENT
Credential: DC, MSC
Phone: 708-458-7700