Provider Demographics
NPI:1962875336
Name:TILSON CHIROPRACTIC FAMILYCARE INC
Entity type:Organization
Organization Name:TILSON CHIROPRACTIC FAMILYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-428-2299
Mailing Address - Street 1:2112 WINDING RIVER DR
Mailing Address - Street 2:STE 120
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8554
Mailing Address - Country:US
Mailing Address - Phone:630-428-2299
Mailing Address - Fax:
Practice Address - Street 1:2112 WINDING RIVER DR
Practice Address - Street 2:STE 120
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8554
Practice Address - Country:US
Practice Address - Phone:630-428-2299
Practice Address - Fax:224-330-1920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-07
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011200261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty