Provider Demographics
NPI:1215314539
Name:FINO FAMILY CHIROPRACTIC & WELLNESS S.C.
Entity type:Organization
Organization Name:FINO FAMILY CHIROPRACTIC & WELLNESS S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:FINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-289-2769
Mailing Address - Street 1:12709 S RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2242
Mailing Address - Country:US
Mailing Address - Phone:708-289-2769
Mailing Address - Fax:
Practice Address - Street 1:12709 S RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-2242
Practice Address - Country:US
Practice Address - Phone:708-289-2769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty