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General NPI Number Information
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NPI Number | 1851584650
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Entity Type | Organization
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Legal Business Name | MCKAY CHIROPRACTIC & SPORTS THERAPY
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 345A W OGDEN AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1419
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Country | US
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Telephone | 630-795-1800
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Fax | 630-795-1802
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Provider Business Mailing Address
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Address Line | 345A W OGDEN AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1419
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Country | US
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Telephone | 630-795-1800
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Fax | 630-795-1802
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSS LEE MCKAY
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Credential | D.C.
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Telephone | 630-795-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State | IL
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