Crosstown Chiropractic LLC
Chiropractor in Chicago, IL. Organization (NPI-2).
NPI number1417313636
StatusActive
Last updated in NPPESJan 4, 2016
Details
- NPI
- 1417313636
- Entity type
- Organization (NPI-2)
- Legal business name
- Crosstown Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2016
- Last updated
- Jan 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038.011645 | IL | Yes |
Practice location
3649 N Kedzie AveChicago, IL 60618-4513
Phone 773-961-8970 · Fax 773-961-8951
Mailing address
3649 N Kedzie AveChicago, IL 60618-4513
Phone 773-961-8970 · Fax 773-961-8951
Authorized official
Michael Aho
Owner
7739618970
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