Provider Demographics
NPI:1285293910
Name:CHIROCARE CLINIC CORPORATION
Entity type:Organization
Organization Name:CHIROCARE CLINIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EVANGELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOKOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:630-290-3380
Mailing Address - Street 1:721 W LAKE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2035
Mailing Address - Country:US
Mailing Address - Phone:630-290-3380
Mailing Address - Fax:
Practice Address - Street 1:721 W LAKE ST STE 201
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-2035
Practice Address - Country:US
Practice Address - Phone:630-290-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty