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General NPI Number Information
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NPI Number | 1093045114
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Entity Type | Organization
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Legal Business Name | ALEVIO PHYSICAL THERAPHY AND CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 1150 N STATE ST 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60610-7481
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Country | US
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Telephone | 312-337-6072
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Fax | 312-337-3163
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Provider Business Mailing Address
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Address Line | 1150 N STATE ST 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60610-7481
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Country | US
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Telephone | 312-337-6072
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Fax | 312-337-3163
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RUBEN BERMUDEZ
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Credential | DC
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Telephone | 312-337-6072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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