Provider Demographics
NPI:1215324744
Name:THERAPEUTIC HEALTH ASSOCIATES, LLC
Entity type:Organization
Organization Name:THERAPEUTIC HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC INTERNIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARA
Authorized Official - Middle Name:DENAE
Authorized Official - Last Name:VANWORMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DABCI
Authorized Official - Phone:630-537-0758
Mailing Address - Street 1:230 E OGDEN AVE
Mailing Address - Street 2:1ST FLOOR, SUITE B
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2460
Mailing Address - Country:US
Mailing Address - Phone:630-537-0758
Mailing Address - Fax:630-708-7561
Practice Address - Street 1:230 E OGDEN AVE
Practice Address - Street 2:1ST FLOOR, SUITE B
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2460
Practice Address - Country:US
Practice Address - Phone:630-537-0758
Practice Address - Fax:630-708-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011318111NI0900X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty