Individual
ALEXIS KAYE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1355 E 19TH RD, STREATOR, IL 61364-9743
(815) 257-5394
Mailing address
301 LEXTIN DR, STREATOR, IL 61364-9316
(815) 257-5394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.014184
IL
111NI0013X
Independent Medical Examiner Chiropractor
038.014184
IL
111NI0900X
Internist Chiropractor
038.014184
IL
111NN0400X
Neurology Chiropractor
038.014184
IL
111NN1001X
Nutrition Chiropractor
038.014184
IL
111NP0017X
Pediatric Chiropractor
038.014184
IL
111NR0200X
Radiology Chiropractor
038.014184
IL
111NR0400X
Rehabilitation Chiropractor
038.014184
IL
111NS0005X
Sports Physician Chiropractor
038.014184
IL
111NT0100X
Thermography Chiropractor
038.014184
IL
111NX0100X
Occupational Health Chiropractor
038.014184
IL
111NX0800X
Orthopedic Chiropractor
038.014184
IL
Other
Enumeration date
10/30/2024
Last updated
04/30/2025
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