Organization
FAMILY CARE CHIROPRACTIC AND ACUPUNCTURE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA K. SORENSEN (OFFICE MANAGER)
(630) 789-8080
Entity
Organization
Contact information
Practice address
805 PLAINFIELD RD, STE 112, DARIEN, IL 60561-4287
(630) 789-8080
(630) 789-8088
Mailing address
805 PLAINFIELD RD, STE 112, DARIEN, IL 60561-4287
(630) 789-8080
(630) 789-8088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232242
BCBS GROUP NUMBER
IL
01
—
DE7711
RAIL ROAD MEDICARE NUMBER
IL
Enumeration date
02/09/2007
Last updated
09/25/2007
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