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NPI Code Detail

MEDICARE: REED CHIROPRACTIC, INC

MEDICARE: REED CHIROPRACTIC, INC
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
1111N00000XChiropractor038004424IL

General Provider Information

NPI Number : 1689914806
Entity Type Code : Organization
Provider Name (Legal Business Name) : REED CHIROPRACTIC, INC
Provider Business Mailing Address
First Line : 3301 W 111TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2715
Country : US
Telephone Number : 773-259-8943
Fax Number : 773-881-8182
Provider Business Practice Location Address
First Line : 3301 W 111TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2715
Country : US
Telephone Number : 773-259-8943
Fax Number : 773-881-8182
Authorized Official
Title or Position : OWNER
Name : DR. DONALD LYNN REED
Credential : DC
Telephone Number : 773-881-0888
Provider Enumeration Date : 02/25/2013
Last Update Date : 06/17/2013

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Directions to “REED CHIROPRACTIC, INC ” Practice Location

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