MEDICARE: LOCKE CHIROPRACTIC & ASSOCIATES

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
1	111N00000X	Chiropractor	038004342	IL

General Provider Information

NPI Number	:	1144230046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOCKE CHIROPRACTIC & ASSOCIATES

Provider Business Mailing Address
First Line	:	1539 LEE ST
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1539 LEE ST
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-1518
Country	:	US
Telephone Number	:	847-298-0606
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS LOCKE
Credential	:
Telephone Number	:	847-298-0606

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	02/10/2009

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