Provider Demographics
NPI:1992014666
Name:TOENSING FAMILY CHIROPRACTIC, PC
Entity type:Organization
Organization Name:TOENSING FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOREY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TOENSING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-857-3542
Mailing Address - Street 1:3075 BOOK RD STE 167
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-4721
Mailing Address - Country:US
Mailing Address - Phone:630-857-3542
Mailing Address - Fax:630-857-3549
Practice Address - Street 1:3075 BOOK RD STE 167
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-4721
Practice Address - Country:US
Practice Address - Phone:630-857-3542
Practice Address - Fax:630-857-3549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty