Provider Demographics
NPI:1962738906
Name:HALCYON HEALTH CHIROPRACTIC, S.C.
Entity type:Organization
Organization Name:HALCYON HEALTH CHIROPRACTIC, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATUSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-539-3200
Mailing Address - Street 1:120 N YORK RD
Mailing Address - Street 2:#100
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2856
Mailing Address - Country:US
Mailing Address - Phone:630-350-2632
Mailing Address - Fax:
Practice Address - Street 1:120 N YORK RD
Practice Address - Street 2:#100
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2856
Practice Address - Country:US
Practice Address - Phone:630-350-2632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1922331529OtherINDIVIDUAL NPI