Healthcare Provider Details
I. General information
NPI: 1992513980
Provider Name (Legal Business Name): ADJUSTED HP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2024
Last Update Date: 12/21/2024
Certification Date: 12/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9501 171ST ST STE I
TINLEY PARK IL
60487-6111
US
IV. Provider business mailing address
16514 OXFORD DR
TINLEY PARK IL
60477-1744
US
V. Phone/Fax
- Phone: 708-945-2276
- Fax:
- Phone: 708-945-2276
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAWAD
M
SALMAN
Title or Position: OWNER
Credential: D.C.
Phone: 708-945-2276