| Organization Name: | KOLDENHOVEN CHIROPRACTIC LLC |
| NPI Number: | 1487786083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARNOLD MARK KOLDENHOVEN (CLINIC DIRECTOR) |
| Mailing Address: | 7501 Lemont Rd Suite 345 Woodridge |
| State: | IL US |
| Postal Code: | 605172653 |
| Phone Number: | 6309101002 |
| Fax Number: | 6309101079 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 038010860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |