5Th Avenue Chiropractic Center

LBN: Hergesheimer Chiropractic Pc
5Th Avenue Chiropractic Center is an health care organization with primary practice located at 8605 W Cermak Rd , North Riverside IL 60546-1225. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Hergesheimer Chiropractic Pc can be contacted via phone (708) 447-3695, or through Hergesheimer, Michael Paul via phone (708) 447-3695.

Contact Information

Primary practice address
8605 W Cermak Rd North Riverside IL 60546-1225
Phone: (708) 447-3695
Fax: (708) 447-8733
Website:
Map and Directions
Authorized official contact:
Name: Hergesheimer, Michael Paul Doctor of Chiropractic (DC)
Phone: (708) 447-3695

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-006399 Illinois

Profile Details

NPI number 1386799120
LBN Legal business name Hergesheimer Chiropractic Pc
DBA Doing business as 5Th Avenue Chiropractic Center
Authorized official Hergesheimer, Michael Paul Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386799120 NPPES
Illinois Other 01618882 BLUE CROSS BLUE SHIELD

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