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NPI Code Detail

MEDICARE: VYAS KHANDAN LLC

MEDICARE: VYAS KHANDAN 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1740511252
Entity Type Code : Organization
Provider Name (Legal Business Name) : VYAS KHANDAN LLC
Provider Business Mailing Address
First Line : 755 ELA RD STE B
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2412
Country : US
Telephone Number : 847-550-6500
Fax Number : 847-550-6595
Provider Business Practice Location Address
First Line : 755 ELA RD STE B
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2412
Country : US
Telephone Number : 847-550-6500
Fax Number : 847-550-6595
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. PRANAV PANKAJ VYAS
Credential : D.C.
Telephone Number : 847-550-6500
Provider Enumeration Date : 01/22/2010
Last Update Date : 02/28/2024

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Directions to “VYAS KHANDAN LLC ” Practice Location

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