Basic Information
| Provider Information | |||||||||
| NPI: | 1952629552 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTH IN HARMONY CHIROPRACTIC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2634 PATRIOT BLVD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | GLENVIEW | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600268024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477305618 | ||||||||
| FaxNumber: | 8477305673 | ||||||||
| Practice Location | |||||||||
| Address1: | 2634 PATRIOT BLVD | ||||||||
| Address2: | SUITE B | ||||||||
| City: | GLENVIEW | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600268024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8477305618 | ||||||||
| FaxNumber: | 8477305673 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2010 | ||||||||
| LastUpdateDate: | 01/13/2011 | ||||||||
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| AuthorizedOfficialLastName: | MURSU | ||||||||
| AuthorizedOfficialFirstName: | ANDREA | ||||||||
| AuthorizedOfficialMiddleName: | KAY | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8477305618 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.C. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | 038011300 | IL | Y | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No ID Information.