Healthcare Provider Details

I. General information

NPI: 1871105965
Provider Name (Legal Business Name): SHELEST CHIROPRACTIC & ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16521 WINDING CREEK RD
PLAINFIELD IL
60586-9614
US

IV. Provider business mailing address

16521 WINDING CREEK RD
PLAINFIELD IL
60586-9614
US

V. Phone/Fax

Practice location:
  • Phone: 847-917-2642
  • Fax:
Mailing address:
  • Phone: 847-917-2642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANNA V SHELEST
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 847-917-2642