Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ideal Chiropractic

Organization Chiropractor · NPI 1659551547

Ideal Chiropractic is a Chiropractor in Random Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
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Practice location Address checks out

321 Carroll St
Random Lake, WI 53075-1795
Phone: (920) 994-2000
Fax: (920) 994-4953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4044012 (WI)

Record details

NPI number1659551547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Mills — Owner · (920) 994-2000
NPI enumeratedNovember 7, 2007
Last updated in NPPESNovember 7, 2007
Mailing addressPo Box 196, 321 Carroll Street, Random Lake, WI 53075-1795