Provider Demographics
NPI:1194078451
Name:BELRICHARD FAMILY CHIROPRACTIC INC.
Entity type:Organization
Organization Name:BELRICHARD FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOSSMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELRICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:BS DC
Authorized Official - Phone:847-639-0010
Mailing Address - Street 1:395 CARY ALGONQUIN RD STE C
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:395 CARY ALGONQUIN RD STE C
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-2084
Practice Address - Country:US
Practice Address - Phone:847-639-0010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty