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General NPI Number Information
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NPI Number | 1184941692
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC HEALTH SERVICES PC
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 17314 OAK PARK AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-3404
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Country | US
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Telephone | 708-614-1400
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Fax | 708-614-1426
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Provider Business Mailing Address
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Address Line | 17314 OAK PARK AVE
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City | TINLEY PARK
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State | IL
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Zip | 60477-3404
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Country | US
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Telephone | 708-614-1400
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Fax | 708-614-1426
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. ANN ZAJAC
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Credential | D.C.
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Telephone | 708-614-1400
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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 | 038006031
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License Number State | IL
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