Provider Demographics
NPI:1215235619
Name:CALIBRATE HEALTH CHIROPRACTIC & REHABILITATION LLC
Entity type:Organization
Organization Name:CALIBRATE HEALTH CHIROPRACTIC & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:QUAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:1414-379-2300
Mailing Address - Street 1:3375 ROSECROFT LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4908
Mailing Address - Country:US
Mailing Address - Phone:630-344-9302
Mailing Address - Fax:
Practice Address - Street 1:1867 BAY SCOTT CIR
Practice Address - Street 2:108
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1133
Practice Address - Country:US
Practice Address - Phone:630-344-9302
Practice Address - Fax:630-946-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38011686111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1669790937OtherNPI