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NPI Code Detail

MEDICARE: AURACLE CHIROPRACTIC, LLC

MEDICARE: AURACLE CHIROPRACTIC, LLC
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1669270146
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURACLE CHIROPRACTIC, LLC
Provider Business Mailing Address
First Line : 7432 HANCOCK DR
Second Line :
City : WONDER LAKE
State : IL
Zip : 60097-9200
Country : US
Telephone Number : 815-728-7049
Fax Number :
Provider Business Practice Location Address
First Line : 7432 HANCOCK DR
Second Line :
City : WONDER LAKE
State : IL
Zip : 60097-9200
Country : US
Telephone Number : 815-728-7049
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CASEY DYCUS
Credential : DC
Telephone Number : 815-212-5021
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/03/2025

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Directions to “AURACLE CHIROPRACTIC, LLC ” Practice Location

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