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NPI 1700893955

NPI 1700893955 : ALL-CARE MEDICAL GROUP, INC : BERWYN, IL

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General NPI Number Information
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    NPI Number           |    1700893955
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL-CARE MEDICAL GROUP, INC 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    6430 CERMAK RD 
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    City                 |    BERWYN
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    State                |    IL
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    Zip                  |    60402-2310
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    Country              |    US
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    Telephone            |    708-795-5700
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    Fax                  |    708-795-5701
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Provider Business Mailing Address
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    Address Line         |    3106 SOLUTIONS CENTER 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60677
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    Country              |    US
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    Telephone            |    773-767-3822
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    Fax                  |    773-767-3944
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STEVEN  KAY 
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    Credential           |    DC
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    Telephone            |    708-795-5700
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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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