Healthcare Provider Details

I. General information

NPI: 1568586105
Provider Name (Legal Business Name): HANA CHIROPRACTIC & ORIENTAL HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 E GOLF RD
SCHAUMBURG IL
60173-3725
US

IV. Provider business mailing address

32 E GOLF RD
SCHAUMBURG IL
60173-3725
US

V. Phone/Fax

Practice location:
  • Phone: 847-843-1234
  • Fax: 847-843-3456
Mailing address:
  • Phone: 847-843-1234
  • Fax: 847-843-3456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-009878
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198-000551
License Number StateIL

VIII. Authorized Official

Name: DR. KATHERINE HEE CHANG
Title or Position: PRESIDENT
Credential: D.C., LAC
Phone: 847-843-1234