Provider Demographics
NPI:1992923981
Name:JUERGENS CHIROPRACTIC PC
Entity type:Organization
Organization Name:JUERGENS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:JUERGENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-577-5400
Mailing Address - Street 1:1522 E HINTZ RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2209
Mailing Address - Country:US
Mailing Address - Phone:847-577-5400
Mailing Address - Fax:847-577-5445
Practice Address - Street 1:1522 E HINTZ RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2209
Practice Address - Country:US
Practice Address - Phone:847-577-5400
Practice Address - Fax:847-577-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
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