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General NPI Number Information
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NPI Number | 1023131588
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Entity Type | Organization
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Legal Business Name | CONSOLIDATED CHIROPRACTIC HEALTH ASSOCIATES INCORPORATION
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 180 N BARRINGTON RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-1966
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Country | US
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Telephone | 630-483-8920
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Fax | 630-483-8930
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Provider Business Mailing Address
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Address Line | 180 N BARRINGTON RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-1966
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Country | US
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Telephone | 630-483-8920
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Fax | 630-483-8930
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. IRSHAD KASSIM
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Credential | D.C.
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Telephone | 630-483-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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