MEDICARE: ING PALOS CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-003416	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1634635	OTHER	IL	BCBS
2	1682349	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1477715878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ING PALOS CHIROPRACTIC

Provider Business Mailing Address
First Line	:	12309 S HARLEM AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1444
Country	:	US
Telephone Number	:	708-448-7772
Fax Number	:	708-448-4470

Provider Business Practice Location Address
First Line	:	12309 S HARLEM AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1444
Country	:	US
Telephone Number	:	708-448-7772
Fax Number	:	708-448-4470

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WALLACE P ING
Credential	:	D.C.
Telephone Number	:	708-448-7772

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	08/27/2008

Similar Medicare Providers

1700231479 — ING CHIROPRACTIC AND ACUPUNCTURE, LTD
Practice Location Address:

12309 S HARLEM AVE
PALOS HEIGHTS, IL
60463-1444

Practice Phone: 708-448-7772
Practice Fax: 708-448-4470

1023963717 — RUSH-SELECT HOLDINGS, LLC.
Practice Location Address:

9000 W COLLEGE PKWY STE H260
PALOS HILLS, IL
60465-1444

Practice Phone: 708-608-4323
Practice Fax:

1013088145 — MR. GEOFFREY S DAVIS ATC
Practice Location Address:

9000 W COLLEGE PKWY
PALOS HILLS, IL
60465-1444

Practice Phone: 708-974-5287
Practice Fax: 708-974-5420

1962016105 — RCI (WRS), LLC.
Practice Location Address:

9000 W COLLEGE PKWY STE H260
PALOS HILLS, IL
60465-1444

Practice Phone: 708-608-4323
Practice Fax: 708-608-4823

1588342695 — MRS. KATARZYNA BARBARA BUNDYRA
Practice Location Address:

9000 W COLLEGE PKWY
PALOS HILLS, IL
60465-1444

Practice Phone: 708-608-4323
Practice Fax:

1073625083 — CML FOODS LTD
Practice Location Address:

5545 EXECUTIVE BLVD
HUBER HEIGHTS, OH
45424-1444

Practice Phone: 937-235-2831
Practice Fax: 937-237-7008

Directions to “ING PALOS CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.