National Provider Identifier Database

FAMILY TREE CHIROPRACTIC INC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

FAMILY TREE CHIROPRACTIC INC
1440 RENAISSANCE DR
SUITE 120
PARK RIDGE, IL60068-1356
Phone: 847-403-1101
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Pediatric Chiropractor 111NP0017X

* Indicates primary specialty

NPI Profile & details for FAMILY TREE CHIROPRACTIC INC

NPI Number 1629455977
Legal business name
LBN
FAMILY TREE CHIROPRACTIC INC
Authorized official WHITNEY FANDEL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/06/2015
Last updated 09/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 038012789

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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