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General NPI Number Information
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NPI Number | 1922406198
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Entity Type | Organization
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Legal Business Name | ALIGNED FAMILY SPINAL CARE LLC
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Dates
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Enumeration Date | 12/19/2014
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 40 LANDOVER PKWY SUITE 2
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City | HAWTHORN WOODS
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State | IL
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Zip | 60047-7508
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Country | US
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Telephone | 847-550-4812
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Fax |
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Provider Business Mailing Address
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Address Line | 40 LANDOVER PKWY SUITE 2
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City | HAWTHORN WOODS
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State | IL
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Zip | 60047-7508
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Country | US
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Telephone | 847-550-4812
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KINJAL J SHAH
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Credential | D.C
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Telephone | 847-550-4812
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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 | 038011449
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License Number State | IL
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