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General NPI Number Information
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NPI Number | 1467613778
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HEALTHCARE OF BEVERLY HILLS CHICAGO, INC.
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 9948 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60643-1831
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Country | US
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Telephone | 773-445-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 4248 BELLE AIRE LN
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1914
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Country | US
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Telephone | 630-324-4763
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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. HUGH A. JENKINS
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Credential | D.C.
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Telephone | 773-445-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 038-008140
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License Number State | IL
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