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East Wrigley Healthcare

Chiropractor in Chicago, IL. Organization (NPI-2).

NPI number1346356888
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1346356888
Entity type
Organization (NPI-2)
Legal business name
East Wrigley Healthcare
Organization subpart
No
Enumeration date
Aug 21, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor042007860ILYes

Practice location

3718 N Broadway St
Chicago, IL 60613-4105

Phone 773-348-1711 · Fax 773-348-1057

Mailing address

3718 N Broadway St
Chicago, IL 60613-4105

Phone 773-348-1711 · Fax 773-348-1057

Authorized official

Thomas Michael Albert
Owner
7733481711

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