Provider Demographics
NPI:1730268954
Name:FRUHAUF, DAVID A (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:FRUHAUF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S SCHMALE RD
Mailing Address - Street 2:SUITE #110
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2794
Mailing Address - Country:US
Mailing Address - Phone:630-871-0879
Mailing Address - Fax:630-871-0899
Practice Address - Street 1:350 S SCHMALE RD
Practice Address - Street 2:SUITE #110
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2794
Practice Address - Country:US
Practice Address - Phone:630-871-0879
Practice Address - Fax:630-871-0899
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1284420OtherCIGNA
IL2232493OtherBCBS
IL209084Medicare ID - Type UnspecifiedCHIROPRACTIC