Andickerson, Inc
Organization Active NPI Chiropractor · Oswego, IL
NPI 1871978916 · NPPES record last updated Apr 21, 2016
Key facts
- NPI
- 1871978916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038011384 (IL)
- Legal business name
- ANDICKERSON, INC
- Practice address
- 83 Templeton Dr
Unit C
Oswego, IL 60543-7019 - Phone
- (630) 554-9991
- Fax
- (630) 554-9992
- NPI assigned
- Jul 29, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Ashley Dickerson, DC
- Title
- Owner
- Phone
- (630) 554-9991
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038011384 | IL | Yes |
Addresses
Primary practice location
83 Templeton Dr
Unit C
Oswego, IL 60543-7019
Mailing address
83 Templeton Drive
Unit C
Oswego, IL 60543-7019
Phone (630) 554-9991
Other names
- Sports and Spine Chiropractic
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.