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CHICAGO SPORT AND WELLNESS NPI 1184038366


NPI Information

NPI: 1184038366
Provider Name: CHICAGO SPORT AND WELLNESS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1200 OLD SKOKIE VALLEY RD
HIGHLAND PARK, IL
ZIP 60035
Phone: (773) 852-8423
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CHICAGO SPORT AND WELLNESS is a chiropractor in Highland Park, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CHICAGO SPORT AND WELLNESS NPI is 1184038366. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 OLD SKOKIE VALLEY RD
HIGHLAND PARK, IL
ZIP 60035-036
Phone: (773) 852-8423

The provider's authorized official is Sunil Simon Pullukat .
The authorized official title is Chiropractor/ Ceo and has the following contact phone number (773) 852-8423.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 6/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038012256ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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