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NPI Code Detail

MEDICARE: CARLOUIS CHIROPRACTIC CHICAGO INC

MEDICARE: CARLOUIS CHIROPRACTIC CHICAGO INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1033677521
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARLOUIS CHIROPRACTIC CHICAGO INC
Provider Business Mailing Address
First Line : 2829 W CERMAK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60623-3513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2829 W CERMAK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60623-3513
Country : US
Telephone Number : 630-421-0138
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JEFF LOUIS
Credential : DC
Telephone Number : 630-421-0138
Provider Enumeration Date : 03/04/2019
Last Update Date : 03/04/2019

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Directions to “CARLOUIS CHIROPRACTIC CHICAGO INC ” Practice Location

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