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General NPI Number Information
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NPI Number | 1669666590
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Entity Type | Organization
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Legal Business Name | DANIEL J. SWEENEY DC, LTD.
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 13807 CICERO AVE
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City | CRESTWOOD
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State | IL
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Zip | 60445-1826
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Country | US
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Telephone | 708-385-5888
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Fax | 708-385-5925
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Provider Business Mailing Address
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Address Line | 13807 CICERO AVE
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City | CRESTWOOD
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State | IL
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Zip | 60445-1826
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Country | US
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Telephone | 708-385-5888
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Fax | 708-385-5925
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL J SWEENEY
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Credential | DC
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Telephone | 708-385-5888
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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 | IL
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