Chiropractic And Acupuncture Center Inc | |
2604 Dempster St, Suite 304, Park Ridge, IL 60068-8412 | |
(847) 635-8080 | |
(847) 390-8080 |
Full Name | Chiropractic And Acupuncture Center Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2604 Dempster St, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649460270 | NPI | - | NPPES |
131172 | Other | IL | ACN |
016-36062 | Other | IL | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038-005366 (Illinois) | Primary |
Provider Name | Kevin P Moore |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558432831 PECOS PAC ID: 1850341470 Enrollment ID: I20050131000876 |
Provider Name | Manol Atanassov |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1407625486 PECOS PAC ID: 2668815077 Enrollment ID: I20240213000599 |
Mailing Address | Practice Location Address |
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Chiropractic And Acupuncture Center Inc 2604 Dempster St, Suite 304, Park Ridge, IL 60068-8412 Ph: (847) 635-8080 | Chiropractic And Acupuncture Center Inc 2604 Dempster St, Suite 304, Park Ridge, IL 60068-8412 Ph: (847) 635-8080 |
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