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General NPI Number Information
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NPI Number | 1306046883
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Entity Type | Organization
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Legal Business Name | NIWA HEALTH AND WELLNESS CENTER
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 407 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60610-1189
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Country | US
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Telephone | 773-551-0023
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Fax |
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Provider Business Mailing Address
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Address Line | 3944 N CLAREMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60618-3843
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Country | US
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Telephone | 773-551-0023
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC SCHWARTZBERG
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Credential |
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Telephone | 773-551-0023
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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 | IL
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