Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0400X | Rehabilitation Chiropractor | 096.003367 | IL |
NPI | 1104170299 |
---|---|
Provider Name | Cara Anne Schuck |
First Address | Hoffman Estates, IL 60169-2105 |
Second Address | Downers Grove, IL 60515-4616 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2012 |
Last Update Date | 30/10/2012 |