Organization
BOLINGBROOK FAMILY CHIROPRACTIC LTD
Active
Other names
Bolingbrook Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A DAHLAGER DC (PRESIDENT)
(630) 699-6840
Entity
Organization
Contact information
Practice address
550 E BOUGHTON RD, SUITE 150, BOLINGBROOK, IL 60440-2100
(630) 699-6840
(630) 739-5871
Mailing address
550 E BOUGHTON RD, SUITE 150, BOLINGBROOK, IL 60440-2100
(630) 699-6840
(630) 739-5871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7674253
AETNA
—
01
—
9932169
BCBS
—
Enumeration date
01/22/2007
Last updated
06/28/2013
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