Provider Demographics
NPI:1386812402
Name:ALLGEIER CHIROPRACTIC LTD
Entity type:Organization
Organization Name:ALLGEIER CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ALLGEIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:312-922-3011
Mailing Address - Street 1:47 W POLK ST
Mailing Address - Street 2:SUITE G-1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2000
Mailing Address - Country:US
Mailing Address - Phone:312-922-3011
Mailing Address - Fax:312-922-5860
Practice Address - Street 1:47 W POLK ST
Practice Address - Street 2:SUITE G-1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2000
Practice Address - Country:US
Practice Address - Phone:312-922-3011
Practice Address - Fax:312-922-5860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010754261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01638618OtherBLUE CROSS BLUE SHIELD OF ILLINOIS
IL216272Medicare UPIN