Provider Demographics
NPI:1346668670
Name:MULTICARE CHIROPRACTIC LLC.
Entity type:Organization
Organization Name:MULTICARE CHIROPRACTIC LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAOMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:GUO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-812-6188
Mailing Address - Street 1:3919 DOUGLAS RD
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2247
Mailing Address - Country:US
Mailing Address - Phone:847-812-6188
Mailing Address - Fax:630-963-9206
Practice Address - Street 1:3919 DOUGLAS RD
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2247
Practice Address - Country:US
Practice Address - Phone:847-812-6188
Practice Address - Fax:630-963-9206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038 009515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty