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NPI Code Detail

MEDICARE: FINO FAMILY CHIROPRACTIC & WELLNESS S.C.

MEDICARE: FINO FAMILY CHIROPRACTIC & WELLNESS S.C.
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
1111N00000XChiropractor038.011963IL

General Provider Information

NPI Number : 1215314539
Entity Type Code : Organization
Provider Name (Legal Business Name) : FINO FAMILY CHIROPRACTIC & WELLNESS S.C.
Provider Business Mailing Address
First Line : 12709 S RIDGELAND AVE
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-2242
Country : US
Telephone Number : 708-289-2769
Fax Number :
Provider Business Practice Location Address
First Line : 12709 S RIDGELAND AVE
Second Line :
City : PALOS HEIGHTS
State : IL
Zip : 60463-2242
Country : US
Telephone Number : 708-289-2769
Fax Number :
Authorized Official
Title or Position : CEO
Name : CHARLES FINO
Credential : DC
Telephone Number : 708-289-2769
Provider Enumeration Date : 05/06/2015
Last Update Date : 05/06/2015

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Directions to “FINO FAMILY CHIROPRACTIC & WELLNESS S.C. ” Practice Location

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