=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548347537
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BARBIAN CHIROPRACTIC CENTER, S.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2006
-----------------------------------------------------
Last Update Date | 05/24/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 651 AMERSALE DR SUITE 109
-----------------------------------------------------
City | NAPERVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60563-2587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-357-2299
-----------------------------------------------------
Fax | 630-357-0204
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 651 AMERSALE DR SUITE 109
-----------------------------------------------------
City | NAPERVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60563-2587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-357-2299
-----------------------------------------------------
Fax | 630-357-0204
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JESSICE J. SCHERER
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 630-357-2299
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 038-009824
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------