The Chicago Body Works, S.c. | |
3505 N Ashland Ave, Chicago, IL 60657 | |
(773) 248-4229 | |
Not Available |
Full Name | The Chicago Body Works, S.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 3505 N Ashland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003090135 | NPI | - | NPPES |
11465052 | Other | IL | CAQH |
7859515 | Other | IL | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Christopher John Halliday |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063432532 PECOS PAC ID: 8628074853 Enrollment ID: I20061011000735 |
Mailing Address | Practice Location Address |
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The Chicago Body Works, S.c. 1225 W Morse Ave, #401, Chicago, IL 60626-5798 Ph: () - | The Chicago Body Works, S.c. 3505 N Ashland Ave, Chicago, IL 60657 Ph: (773) 248-4229 |
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