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NECK AND BACK CLINIC LTD. NPI 1730305913


NPI Information

NPI: 1730305913
Provider Name: NECK AND BACK CLINIC, LTD.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4176 WEST MONTROSE AVE
CHICAGO, IL
ZIP 60641
Phone: (773) 283-3131
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NECK AND BACK CLINIC, 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. NECK AND BACK CLINIC, LTD. NPI is 1730305913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4176 WEST MONTROSE AVE
CHICAGO, IL
ZIP 60641-161
Phone: (773) 283-3131
Fax: (773) 283-0793

The provider's authorized official is Derrick David Wallery .
The authorized official title is President and has the following contact phone number (773) 283-3131.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.


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

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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