Provider Demographics
NPI:1588047658
Name:AURORA CHIROPRACTIC LLC
Entity type:Organization
Organization Name:AURORA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-506-8804
Mailing Address - Street 1:1311 BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-8944
Mailing Address - Country:US
Mailing Address - Phone:630-506-8804
Mailing Address - Fax:630-478-9337
Practice Address - Street 1:1311 BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-8944
Practice Address - Country:US
Practice Address - Phone:630-506-8804
Practice Address - Fax:630-478-9337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty