Organization · NPI-2

87th Street Rehab Clinic LLC

Chiropractor · Chicago, IL

NPI number1538633441
StatusActive
Last updated in NPPESJan 14, 2019

Details

NPI
1538633441
Entity type
Organization (NPI-2)
Legal business name
87th Street Rehab Clinic LLC
Organization subpart
No
Enumeration date
Jan 14, 2019
Last updated
Jan 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

1111 E 87th St Ste 900b
Chicago, IL 60619-7063

Phone 708-452-6842 · Fax 708-452-1444

Mailing address

1111 E 87th St Ste 900b
Chicago, IL 60619-7063

Phone 708-452-6842 · Fax 708-452-1444

Authorized official

Manish Pandya
Owner/Manager
6309652225

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