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Chicago Bone & Joint Clinic LLC

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

NPI number1962053264
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1962053264
Entity type
Organization (NPI-2)
Legal business name
Chicago Bone & Joint Clinic LLC
Organization subpart
No
Enumeration date
Sep 27, 2019
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Other names

  • Chicago Bone & Joint Clinic (Doing Business As)

Practice location

6457 S Pulaski Rd
Chicago, IL 60629-5148

Phone 312-972-6017

Mailing address

Po Box 11040
Chicago, IL 60611-0001

Phone 312-972-6017

Authorized official

Richard A Vallandigham
Sole Member, Founder
3129726017

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