MEDICARE: ANNALEAH ESP DC

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	038.014413	IL

General Provider Information

NPI Number	:	1972460657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNALEAH ESP DC

Provider Business Mailing Address
First Line	:	3402 N BELL AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-4873
Country	:	US
Telephone Number	:	630-460-1798
Fax Number	:

Provider Business Practice Location Address
First Line	:	2649 N LARAMIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1613
Country	:	US
Telephone Number	:	773-373-0062
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ANNALEAH ESP DC” Practice Location

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