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General NPI Number Information
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NPI Number | 1346668670
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Entity Type | Organization
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Legal Business Name | MULTICARE CHIROPRACTIC LLC.
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 3919 DOUGLAS RD
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2247
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Country | US
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Telephone | 847-812-6188
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Fax | 630-963-9206
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Provider Business Mailing Address
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Address Line | 3919 DOUGLAS RD
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-2247
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Country | US
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Telephone | 847-812-6188
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Fax | 630-963-9206
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Authorized Official
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Title or Position | CEO
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Name | DR. CHAOMEI GUO
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Credential | D.C.
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Telephone | 847-812-6188
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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 | 038 009515
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License Number State | IL
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