Organization · NPI-2

5-Star Chiropractic, Ltd.

Chiropractor · Chicago, IL

NPI number1104167261
StatusActive
Last updated in NPPESMar 13, 2013

Details

NPI
1104167261
Entity type
Organization (NPI-2)
Legal business name
5-Star Chiropractic, Ltd.
Organization subpart
No
Enumeration date
Mar 13, 2013
Last updated
Mar 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor038-007070ILYes

Practice location

5057 N Harlem Ave
Chicago, IL 60656-3501

Phone 773-631-5555 · Fax 773-631-5557

Mailing address

5057 N Harlem Ave
Chicago, IL 60656-3501

Phone 773-631-5555 · Fax 773-631-5557

Authorized official

Pat Fiore
Chiropractor/ President
7736315555

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