Organization · NPI-2
Acosta Chiropractic, S.C.
Chiropractor · Chicago, IL
NPI number1982838868
StatusActive
Last updated in NPPESMay 7, 2009
Details
- NPI
- 1982838868
- Entity type
- Organization (NPI-2)
- Legal business name
- Acosta Chiropractic, S.C.
- Organization subpart
- No
- Enumeration date
- May 7, 2009
- Last updated
- May 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038011185 | IL | Yes |
Practice location
2144 W Roscoe StChicago, IL 60618-6285
Phone 773-989-7777
Mailing address
2144 W Roscoe StChicago, IL 60618-6285
Phone 773-989-7777
Authorized official
Veronica Lynn Acosta
Owner
7739897777
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