Organization · NPI-2

Hickory Medical Corporation, S.C.

Chiropractor · Hickory Hills, IL

NPI number1063522159
StatusActive
Last updated in NPPESDec 27, 2022

Details

NPI
1063522159
Entity type
Organization (NPI-2)
Legal business name
Hickory Medical Corporation, S.C.
Organization subpart
No
Enumeration date
Aug 30, 2006
Certification date
Dec 27, 2022
Last updated
Dec 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor038007128ILYes

Other names

  • Midwest Chiropractic Care Center (Doing Business As)

Practice location

9100 S Roberts Road
Hickory Hills, IL 60457

Phone 708-430-9999 · Fax 708-430-9057

Mailing address

9100 S Roberts Road
Hickory Hills, IL 60457

Phone 708-430-9999 · Fax 708-430-9057

Authorized official

Stephen J Gallagher
President
7084309999

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