Organization
PREFERRED CHIROPRACTIC CARE CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX ZEVAN III DC, FIACA, DABCI (PRESIDENT)
(630) 539-5822
Entity
Organization
Contact information
Practice address
109 1ST ST, BLOOMINGDALE, IL 60108-1219
(630) 539-5822
(630) 539-5824
Mailing address
PO BOX 6548, BLOOMINGDALE, IL 60108-6548
(630) 539-5822
(630) 539-5824
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038-007306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225120876
PERSONAL NPI
IL
01
—
222-0421
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
01/27/2007
Last updated
06/21/2018
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