MEDICARE: SEAN COONEY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038011989	IL

General Provider Information

NPI Number	:	1104173731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN COONEY D.C.

Provider Business Mailing Address
First Line	:	5016 N SHERIDAN RD UNIT 1S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-3168
Country	:	US
Telephone Number	:	630-209-5259
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 NORTH LASALLE DRIVE
Second Line	:	UNIT 2W
City	:	CHICAGO
State	:	IL
Zip	:	60610
Country	:	US
Telephone Number	:	312-900-2640
Fax Number	:	312-588-7242

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2012
Last Update Date	:	05/27/2026

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Directions to “ SEAN COONEY D.C.” Practice Location

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