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CHIROSOURCE OF PALOS HEIGHTS NPI 1013176577


NPI Information

NPI: 1013176577
Provider Name: CHIROSOURCE OF PALOS HEIGHTS
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
12717 S RIDGELAND AVE
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 371-6114
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CHIROSOURCE OF PALOS HEIGHTS is a chiropractor in Palos Heights, 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. CHIROSOURCE OF PALOS HEIGHTS NPI is 1013176577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12717 S RIDGELAND AVE
PALOS HEIGHTS, IL
ZIP 60463-242
Phone: (708) 371-6114
Fax: (708) 371-0816

The provider's authorized official is Rich Sheppard .
The authorized official title is President and has the following contact phone number (708) 371-6114.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.


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
1111N00000XChiropractor038-008221ILLINOISYes

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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