Provider Demographics
NPI:1306986831
Name:IROWA & ASSOCIATES PC
Entity type:Organization
Organization Name:IROWA & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OZIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:IROWA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-918-1919
Mailing Address - Street 1:7959 SOUTH WESTERN AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-5941
Mailing Address - Country:US
Mailing Address - Phone:773-918-1919
Mailing Address - Fax:773-918-1978
Practice Address - Street 1:7959 SOUTH WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-5941
Practice Address - Country:US
Practice Address - Phone:773-918-1919
Practice Address - Fax:773-918-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL383633111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
01618485OtherBCBS
IL346569482 60620 30Medicaid