| |
2200 W Roosevelt Rd, Broadview, IL 60155-3888 | |
(708) 345-0223 | |
(708) 345-0269 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 2200 W Roosevelt Rd, Broadview, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1295804268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038007423 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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2200 W Roosevelt Rd, Broadview, IL 60155-3888 Ph: (708) 345-0223 | 2200 W Roosevelt Rd, Broadview, IL 60155-3888 Ph: (708) 345-0223 |