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General NPI Number Information
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NPI Number | 1962738906
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Entity Type | Organization
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Legal Business Name | HALCYON HEALTH CHIROPRACTIC, S.C.
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 120 N YORK RD #100
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City | ELMHURST
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State | IL
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Zip | 60126-2856
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Country | US
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Telephone | 630-350-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N YORK RD #100
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City | ELMHURST
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State | IL
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Zip | 60126-2856
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Country | US
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Telephone | 630-350-2632
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTY A MATUSIAK
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Credential | D.C.
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Telephone | 708-539-3200
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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 | 038011511
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License Number State | IL
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