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LA CLINICA SC NPI 1124483219


NPI Information

NPI: 1124483219
Provider Name: LA CLINICA SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5738 S PULASKI RD
CHICAGO, IL
ZIP 60629
Phone: (773) 278-9525
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LA CLINICA SC 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. LA CLINICA SC NPI is 1124483219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5738 S PULASKI RD
CHICAGO, IL
ZIP 60629-437
Phone: (773) 278-9525
Fax: (708) 337-9135

The provider's authorized official is Eugene Jao .
The authorized official title is Owner and has the following contact phone number (312) 961-6611.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.


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
1111N00000XChiropractor042-620267ILLINOISYes

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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