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General NPI Number Information
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NPI Number | 1700208949
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH & CHIROPRACTIC SC
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 8 S MICHIGAN AVE SUITE 1420
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City | CHICAGO
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State | IL
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Zip | 60603-3357
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Country | US
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Telephone | 312-258-1338
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 W ADAMS ST APT 9
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City | CHICAGO
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State | IL
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Zip | 60607-2867
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Country | US
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Telephone | 773-908-0845
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIER
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Name | DR. STEPHEN HOESLEY
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Credential | D.C.
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Telephone | 773-908-0845
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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 | 038.012562
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License Number State | IL
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