Provider Demographics
NPI:1316079775
Name:NATIONAL UNIVERSITY OF HEALTH SCIENCES
Entity type:Organization
Organization Name:NATIONAL UNIVERSITY OF HEALTH SCIENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN OF CLINICS
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACBSP, CSCS
Authorized Official - Phone:630-889-6513
Mailing Address - Street 1:200 E ROOSEVELT RD
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4539
Mailing Address - Country:US
Mailing Address - Phone:630-889-9664
Mailing Address - Fax:630-889-6800
Practice Address - Street 1:200 E ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4539
Practice Address - Country:US
Practice Address - Phone:630-889-9664
Practice Address - Fax:630-889-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL50000247OtherBCBS
IL50000247OtherBCBS
IL931840Medicare PIN