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General NPI Number Information
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NPI Number | 1194915017
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Entity Type | Organization
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Legal Business Name | JURIK CHIROPRACTIC & WHOLISTIC HEALTH CARE SC
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 120 E OGDEN AVE 202
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City | HINSDALE
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State | IL
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Zip | 60521-3542
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Country | US
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Telephone | 630-655-9480
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Fax | 630-655-9490
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Provider Business Mailing Address
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Address Line | 120 E OGDEN AVE 202
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City | HINSDALE
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State | IL
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Zip | 60521-3542
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Country | US
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Telephone | 630-655-9480
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Fax | 630-655-9490
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. ANNA JURIK
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Credential | D.C., R.D.,L.D.N.
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Telephone | 630-655-9480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 038010439
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License Number State | IL
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