Provider Demographics
NPI:1144532326
Name:KE, CINDY H (DC)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:H
Last Name:KE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:KE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC, CACCP
Mailing Address - Street 1:4024 W. CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1757
Mailing Address - Country:US
Mailing Address - Phone:847-329-0200
Mailing Address - Fax:847-329-0201
Practice Address - Street 1:4024 W. CHURCH ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1757
Practice Address - Country:US
Practice Address - Phone:847-329-0200
Practice Address - Fax:847-329-0201
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01368111N00000X
IL038.011518111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111N00000XChiropractic ProvidersChiropractor