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General NPI Number Information
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NPI Number | 1881790061
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Entity Type | Organization
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Legal Business Name | ALLIED CHIROPRACTIC PHYSICIANS, P.C.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 124 WESTEND AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1642
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Country | US
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Telephone | 630-936-0337
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Fax |
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Provider Business Mailing Address
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Address Line | 124 WESTEND AVE
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City | WESTMONT
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State | IL
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Zip | 60559-1642
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Country | US
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Telephone | 630-936-0337
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT J VAN THOLEN
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Credential | D.C.
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Telephone | 630-936-0337
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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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