Provider Demographics
NPI:1902168305
Name:DURAND FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:DURAND FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HERSHBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-248-3013
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:DURAND
Mailing Address - State:IL
Mailing Address - Zip Code:61024-0114
Mailing Address - Country:US
Mailing Address - Phone:815-248-3013
Mailing Address - Fax:815-248-3014
Practice Address - Street 1:108 N CENTER ST
Practice Address - Street 2:
Practice Address - City:DURAND
Practice Address - State:IL
Practice Address - Zip Code:61024-9756
Practice Address - Country:US
Practice Address - Phone:815-248-3013
Practice Address - Fax:815-248-3014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty