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General NPI Number Information
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NPI Number | 1629124847
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Entity Type | Organization
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Legal Business Name | HEALTH ON EARTH CHIROPRACTIC AND REHABILITATION, LLC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7711 159TH ST UNIT 102
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City | TINLEY PARK
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State | IL
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Zip | 60477-1329
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Country | US
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Telephone | 630-618-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 7711 159TH ST UNIT 102
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City | TINLEY PARK
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State | IL
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Zip | 60477-1329
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Country | US
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Telephone | 630-618-7880
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JOHN GREGORY ARTIS
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Credential | D.C
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Telephone | 630-618-7880
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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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