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General NPI Number Information
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NPI Number | 1306061916
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Entity Type | Organization
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Legal Business Name | UPTOWN CHIROPRACTIC CLINIC LTD
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 S NORTHWEST HWY
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City | PARK RIDGE
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State | IL
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Zip | 60068-4228
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Country | US
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Telephone | 847-692-2688
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Fax | 847-692-2921
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Provider Business Mailing Address
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Address Line | 131 S NORTHWEST HWY
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City | PARK RIDGE
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State | IL
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Zip | 60068-4228
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Country | US
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Telephone | 847-692-2688
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Fax | 847-692-2921
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG M. MORSE
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Credential | DC
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Telephone | 847-692-2688
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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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