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General NPI Number Information
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NPI Number | 1427372747
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Entity Type | Organization
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Legal Business Name | SUH CHIROPRACTIC & WELL-BEING CLINIC
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 03/15/2010
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Provider Practice Location Address
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Address Line | 9301 GOLF RD 203
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City | DES PLAINES
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State | IL
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Zip | 60016-1667
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Country | US
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Telephone | 847-635-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 GOLF RD 203
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City | DES PLAINES
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State | IL
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Zip | 60016-1667
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Country | US
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Telephone | 847-635-6588
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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. JINHWA SUH
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Credential | D.C.
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Telephone | 847-635-6588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 038-007191
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License Number State | IL
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