Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shorewood Chiropractic Clinic

Organization Chiropractor · NPI 1649444688

Shorewood Chiropractic Clinic provides Chiropractor services in Shorewood, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

102 W Jefferson St Unit 1
Shorewood, IL 60404-9502 Not confirmed with CMS for 18 years — call before visiting
Phone: (815) 744-9201
Fax: (815) 744-9401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038009514 (IL)

Record details

NPI number1649444688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nomon Thanadabouth — Owner · (815) 744-9201
NPI enumeratedApril 22, 2008
Last updated in NPPESApril 22, 2008
Mailing address102 W Jefferson St, Unit 1, Shorewood, IL 60404-9502

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