Healthcare Provider Details

I. General information

NPI: 1972528230
Provider Name (Legal Business Name): CHRISTOPHER IAN SZPILA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 E IRVING PARK RD
WOOD DALE IL
60191-1667
US

IV. Provider business mailing address

344 E IRVING PARK RD
WOOD DALE IL
60191-1667
US

V. Phone/Fax

Practice location:
  • Phone: 630-521-9770
  • Fax: 630-477-0169
Mailing address:
  • Phone: 630-521-9770
  • Fax: 630-477-0169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038006508
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: