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NPI Code Detail

MEDICARE: DR. CHRISTOPHER SCOTT CHALK DC

MEDICARE: DR. CHRISTOPHER SCOTT CHALK DC
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
1111N00000XChiropractor038-006422IL

General Provider Information

NPI Number : 1548271281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER SCOTT CHALK DC
Provider Business Mailing Address
First Line : 7505 JOY LN
Second Line :
City : ROSCOE
State : IL
Zip : 61073-8580
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1820 WINDSOR RD
Second Line : STE. A
City : LOVES PARK
State : IL
Zip : 61111-4271
Country : US
Telephone Number : 815-986-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 09/23/2010

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Directions to “ DR. CHRISTOPHER SCOTT CHALK DC” Practice Location

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