Provider Demographics
NPI:1588788509
Name:THE CHIROPRACTIC PEOPLE
Entity type:Organization
Organization Name:THE CHIROPRACTIC PEOPLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-494-0667
Mailing Address - Street 1:1881 S RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2532
Mailing Address - Country:US
Mailing Address - Phone:630-845-8925
Mailing Address - Fax:630-845-8965
Practice Address - Street 1:1881 S RANDALL RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2532
Practice Address - Country:US
Practice Address - Phone:630-845-8925
Practice Address - Fax:630-845-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU89089Medicare UPIN