BLACK CHIROPRACTIC PC NPI 1689971715

NPI Information

BLACK CHIROPRACTIC PC is a chiropractor in Evanston, 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. BLACK CHIROPRACTIC PC NPI is 1689971715. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Black Chiropractic & Family Wellness Center.

The provider's business location address is:

1609 SHERMAN AVE
204
EVANSTON, IL
ZIP 60201-753
Phone: (847) 328-2008
Fax: (847) 328-8171

The provider's authorized official is Constance A Black .
The authorized official title is President and has the following contact phone number (847) 328-2008.

The enumeration date for this NPI number is 2/25/2011 and was last updated on 2/25/2011.

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:

Other Identifiers

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

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