| |
534 W Chestnut St Bsmt Lvl, Hinsdale, IL 60521-3167 | |
(630) 425-4040 | |
(630) 655-7425 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 534 W Chestnut St Bsmt Lvl, Hinsdale, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760981138 | NPI | - | NPPES |
1609157155 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | 038012309 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
534 W Chestnut St Bsmt Lvl, Hinsdale, IL 60521-3167 Ph: (630) 425-4040 | 534 W Chestnut St Bsmt Lvl, Hinsdale, IL 60521-3167 Ph: (630) 425-4040 |