Phetchamphone, Sitihiamphone
Phetchamphone, Sitihiamphone is an individual health care provider with primary practice located at 17 W. 580 Butterfield Rd Suite J, Oakbrook Terrace IL 60181. She recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as her primary health care specialty. Phetchamphone, Sitihiamphone can be contacted via phone (630) 495-1855.Contact Information
Primary practice address
17 W. 580 Butterfield Rd Suite J
Oakbrook Terrace IL 60181
Phone: (630) 495-1855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 038009954 | Illinois |
Profile Details
| NPI number | 1821070525 |
|---|---|
| LBN Legal business name | Phetchamphone, Sitihiamphone |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jul 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821070525 | NPPES |
| Illinois | Other | 2232336 | BCBS |
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