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General NPI Number Information
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NPI Number | 1578681979
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Entity Type | Organization
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Legal Business Name | CHICAGOLAND CHIROPRACTIC HEALTH CENTER S C
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1 E DELAWARE PL SUITE 401
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City | CHICAGO
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State | IL
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Zip | 60611-1449
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Country | US
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Telephone | 312-337-4004
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Fax |
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Provider Business Mailing Address
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Address Line | 1 E DELAWARE PL SUITE 401
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City | CHICAGO
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State | IL
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Zip | 60611-1449
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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 | DOCTOR
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Name | DR. MICHAEL KAUF
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Credential |
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Telephone | 312-337-4004
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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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