Healthcare Provider Details

I. General information

NPI: 1336361815
Provider Name (Legal Business Name): SBC CHIROPRACTIC CLINIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N MILWAUKEE AVE SUITE B
WHEELING IL
60090-3071
US

IV. Provider business mailing address

325 N MILWAUKEE AVE SUITE B
WHEELING IL
60090-3071
US

V. Phone/Fax

Practice location:
  • Phone: 847-541-3456
  • Fax: 847-541-3656
Mailing address:
  • Phone: 847-541-3456
  • Fax: 847-541-3656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BYUNG KWAN CHUN
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-541-3456