Provider Demographics
NPI:1902122369
Name:L.V. CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:L.V. CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:D
Authorized Official - Last Name:VERNOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-863-5099
Mailing Address - Street 1:507 FAIRWAY DR STE 111
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4052
Mailing Address - Country:US
Mailing Address - Phone:630-746-3647
Mailing Address - Fax:
Practice Address - Street 1:507 FAIRWAY DR STE 111
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4052
Practice Address - Country:US
Practice Address - Phone:630-746-3647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-10
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011065111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty