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CALLISTA C LAY LTD NPI 1952657991


NPI Information

NPI: 1952657991
Provider Name: CALLISTA C LAY LTD

Doing Business As: GENESIS CHIROPRACTIC WELLNESS CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1169 W MADISON
CHICAGO, IL
ZIP 60607
Phone: (312) 491-8100
Get Directions

CALLISTA C LAY 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. CALLISTA C LAY LTD NPI is 1952657991. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Genesis Chiropractic Wellness Center.

The provider's business location address is:

1169 W MADISON
CHICAGO, IL
ZIP 60607
Phone: (312) 491-8100
Fax: (312) 491-8105

The provider's authorized official is Callista C Lay .
The authorized official title is President and has the following contact phone number (312) 491-8100.

The enumeration date for this NPI number is 7/27/2012 and was last updated on 11/21/2016.


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
1111N00000XChiropractor038012202ILLINOISYes

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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