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General NPI Number Information
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NPI Number | 1932267069
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Entity Type | Organization
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Legal Business Name | SIKORSKY CHIROPRACTIC CLINIC SC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/16/2011
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Provider Practice Location Address
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Address Line | 104 TYLER CREEK PLZ
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City | ELGIN
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State | IL
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Zip | 60123-1784
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Country | US
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Telephone | 847-695-0464
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Fax | 847-695-0461
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Provider Business Mailing Address
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Address Line | 1425 N MCLEAN BLVD SUITE 700
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City | ELGIN
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State | IL
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Zip | 60123-5723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEPHEN A. SIKORSKY
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Credential | DC
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Telephone | 847-695-0464
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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 |
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