=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477646719
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | N8 HEALTH CENTRE, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 263 N MERCHANTS DR
-----------------------------------------------------
City | OSWEGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60543-9459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-264-6500
-----------------------------------------------------
Fax | 630-264-6385
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 263 N MERCHANTS DR
-----------------------------------------------------
City | OSWEGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60543-9459
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-264-6500
-----------------------------------------------------
Fax | 630-264-6385
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ZAAHIR HENDRICKS
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 630-264-6500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------