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General NPI Number Information
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NPI Number | 1962667501
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Entity Type | Organization
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Legal Business Name | AMHERST CHIROPRACTIC & REHABILITATION GROUP
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 14044 PALISADES AVE
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City | HUNTLEY
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State | IL
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Zip | 60142
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Country | US
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Telephone | 224-848-0165
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Fax | 847-550-4096
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Provider Business Mailing Address
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Address Line | 14044 PALISADES AVE
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City | HUNTLEY
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State | IL
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Zip | 60142-7891
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Country | US
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Telephone | 224-848-0165
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Fax | 847-550-4096
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH A YOUNIS
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Credential | D.C.
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Telephone | 224-848-0165
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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 | 038-005434
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License Number State | IL
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