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General NPI Number Information
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NPI Number | 1720706369
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Entity Type | Individual
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Provider Name | CAIN WINEBRENNER DC
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Gender | Male
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 2242 W IRVING PARK RD
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City | CHICAGO
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State | IL
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Zip | 60618-3839
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Country | US
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Telephone | 773-583-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 160 N ELIZABETH ST APT 708
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City | CHICAGO
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State | IL
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Zip | 60607-1673
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Country | US
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Telephone | 816-309-2807
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 038013875
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License Number State | IL
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