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SMITH CHIROPRACTIC CLINIC LTD NPI 1558635797


NPI Information

NPI: 1558635797
Provider Name: SMITH CHIROPRACTIC CLINIC LTD
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
442 SUNNYSIDE AVE
WHEATON, IL
ZIP 60187
Phone: (630) 517-8670
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SMITH CHIROPRACTIC CLINIC LTD is a point of service in Wheaton, IL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SMITH CHIROPRACTIC CLINIC LTD NPI is 1558635797. The provider is registered as an organization entity type.

The provider's business location address is:

442 SUNNYSIDE AVE
WHEATON, IL
ZIP 60187-006
Phone: (630) 517-8670

The provider's authorized official is Randall Smith .
The authorized official title is Doctor and has the following contact phone number (630) 517-8670.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/6/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service038.005471ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1747250MEDICARE PINILLINOIS
2138456MEDICARE UPINILLINOIS

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: 5/5/2024

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