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BUCKTOWN CHIROPRACTIC HEALTH CENTER S C NPI 1538287651


NPI Information

NPI: 1538287651
Provider Name: BUCKTOWN CHIROPRACTIC HEALTH CENTER S C
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1952 W ARMITAGE AVE
STORE FRONT
CHICAGO, IL
ZIP 60622
Phone: (773) 772-1010
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BUCKTOWN CHIROPRACTIC HEALTH CENTER S C 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. BUCKTOWN CHIROPRACTIC HEALTH CENTER S C NPI is 1538287651. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1952 W ARMITAGE AVE
STORE FRONT
CHICAGO, IL
ZIP 60622-024
Phone: (773) 772-1010
Fax: (773) 772-3252

The provider's authorized official is Estelle Catherine Nella .
The authorized official title is Owner and has the following contact phone number (773) 772-1010.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/6/2011.


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
1111N00000XChiropractorILLINOISYes

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
121622748OTHERILLINOISBLUE CROSS BLUE SHIELD
2545190MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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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