DNA HEALTH SERVICES; NPI #1932388519

Contact Information

DNA HEALTH SERVICES

1820 WINDSOR RD
SUIT A
LOVES PARK, IL 61111-4271

Phone: 815-986-4411
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Chiropractor	111N00000X	35	Chiropractic
Sports Physician	111NS0005X	35	Chiropractic

Indicates primary specialty

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NPI Profile & details for DNA HEALTH SERVICES

NPI Number 1932388519

LBN Legal business name DNA HEALTH SERVICES

Authorized official GARY BROOM - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/30/2007

Last updated 03/31/2009 - About 17 years ago

Identifiers

License #

042619163

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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