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EDGEBROOK CHIROPRACTIC HEALTH CENTER NPI 1083094940


NPI Information

NPI: 1083094940
Provider Name: EDGEBROOK CHIROPRACTIC HEALTH CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6139 W TOUHY AVE
CHICAGO, IL
ZIP 60646
Phone: (847) 436-2596
Get Directions

EDGEBROOK CHIROPRACTIC HEALTH CENTER is a chiropractor in Chicago, 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. EDGEBROOK CHIROPRACTIC HEALTH CENTER NPI is 1083094940. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6139 W TOUHY AVE
CHICAGO, IL
ZIP 60646-268
Phone: (847) 436-2596
Fax: (847) 675-8305

The provider's authorized official is Evana Younan .
The authorized official title is President/chiropractor and has the following contact phone number (847) 436-2596.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/5/2015.


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
1111N00000XChiropractor038011168ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IL3964001MEDICARE PINILLINOIS

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: 4/28/2024

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