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NPI Code Detail

MEDICARE: SAFE PREFERRED CHIROPRACTIC P C

MEDICARE: SAFE PREFERRED CHIROPRACTIC P C
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
1111N00000XChiropractor038011290IL

General Provider Information

NPI Number : 1568748796
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFE PREFERRED CHIROPRACTIC P C
Provider Business Mailing Address
First Line : 106 S LINCOLNWAY
Second Line : SUITE C
City : NORTH AURORA
State : IL
Zip : 60542-1663
Country : US
Telephone Number : 630-897-9300
Fax Number : 630-897-0727
Provider Business Practice Location Address
First Line : 106 S LINCOLNWAY
Second Line : SUITE C
City : NORTH AURORA
State : IL
Zip : 60542-1663
Country : US
Telephone Number : 630-897-9300
Fax Number : 630-897-0727
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. BRAHIM OUAIS
Credential : D.C.
Telephone Number : 630-897-9300
Provider Enumeration Date : 11/02/2011
Last Update Date : 09/05/2019

Similar Medicare Providers

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1699260653 — MR. CHRIS E GONZALES MS, NCC, LPC
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Directions to “SAFE PREFERRED CHIROPRACTIC P C ” Practice Location

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