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General NPI Number Information
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NPI Number | 1386643799
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Entity Type | Organization
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Legal Business Name | PALOS CHIROPRACTIC INC
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 12770 S HARLEM AVE
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-2145
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Country | US
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Telephone | 708-671-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 12770 S HARLEM AVE
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-2145
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Country | US
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Telephone | 708-671-1400
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. ROBERT T WRIGHT
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Credential | DC
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Telephone | 708-671-1400
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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 | 038-008937
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-005911
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License Number State | IL
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