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CHINATOWN PHYSICAL MEDICINE & REHAB LTD NPI 1194939603


NPI Information

NPI: 1194939603
Provider Name: CHINATOWN PHYSICAL MEDICINE & REHAB LTD

Doing Business As: CHINATOWN SQUARE ING CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2134 S ARCHER AVE STE B
CHICAGO, IL
ZIP 60616
Phone: (312) 842-9831
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CHINATOWN PHYSICAL MEDICINE & REHAB LTD 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. CHINATOWN PHYSICAL MEDICINE & REHAB LTD NPI is 1194939603. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chinatown Square Ing Chiropractic.

The provider's business location address is:

2134 S ARCHER AVE STE B
CHICAGO, IL
ZIP 60616-514
Phone: (312) 842-9831
Fax: (312) 842-1037

The provider's authorized official is Gregory Y Ing .
The authorized official title is Owner and has the following contact phone number (312) 842-9831.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 11/21/2008.


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
1111N00000XChiropractor038-003513ILLINOISYes

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
17818411OTHERAETNA
2647079OTHERACN
3203279MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
401632866OTHERILLINOISBCBS

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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