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General NPI Number Information
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NPI Number | 1114110517
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Entity Type | Organization
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Legal Business Name | MCDOWELL CHIROPRACTIC CLINIC, S.C.
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 240 EAST OGDEN AVENUE SUITE 102
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City | HINSDALE
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State | IL
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Zip | 60521
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Country | US
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Telephone | 630-430-8372
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 280
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City | CLARENDON HILLS
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State | IL
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Zip | 60514
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Country | US
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Telephone | 630-430-8372
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROGER SCOTT MCDOWELL
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Credential | D.C.
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Telephone | 630-430-8372
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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 | 038008640
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.008640
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License Number State | IL
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