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General NPI Number Information
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NPI Number | 1669661567
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Entity Type | Organization
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Legal Business Name | CHIRO CARE INC
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 5839 S ARCHER AVE
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City | CHICAGO
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State | IL
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Zip | 60638-1619
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Country | US
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Telephone | 773-582-7677
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Fax | 773-582-8477
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Provider Business Mailing Address
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Address Line | PO BOX 388819
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City | CHICAGO
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State | IL
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Zip | 60638-8819
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Country | US
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Telephone | 773-582-7677
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Fax | 773-582-8477
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE A WOSS
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Credential | D.C.
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Telephone | 773-582-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 038005948
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License Number State | IL
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