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General NPI Number Information
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NPI Number | 1568118859
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Entity Type | Organization
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Legal Business Name | PROPER CHIROPRACTIC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 3973 75TH ST STE 102
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City | AURORA
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State | IL
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Zip | 60504-7914
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Country | US
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Telephone | 630-479-0549
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Fax |
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Provider Business Mailing Address
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Address Line | 1780 WINTERFIELD DR APT 12
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City | AURORA
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State | IL
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Zip | 60504-5465
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR OF CHIROPRACTIC
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Name | PATRICK MCDONNELL
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Credential |
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Telephone | 630-479-0549
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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 |
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