Provider Demographics
NPI:1972883965
Name:MAPLEBROOK CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MAPLEBROOK CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:RACHAEL
Authorized Official - Last Name:CARPANZANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-536-8002
Mailing Address - Street 1:365 E BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1415
Mailing Address - Country:US
Mailing Address - Phone:630-536-8002
Mailing Address - Fax:630-364-2133
Practice Address - Street 1:365 E BAILEY RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1415
Practice Address - Country:US
Practice Address - Phone:630-536-8002
Practice Address - Fax:630-364-2133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty