MEDICARE: HUMANA CARE PLUS,P.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
1	172P00000X	Naprapath	181.000373	IL

General Provider Information

NPI Number	:	1306196639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMANA CARE PLUS,P.C.

Provider Business Mailing Address
First Line	:	3138 W MONTROSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1117
Country	:	US
Telephone Number	:	773-909-8467
Fax Number	:	773-945-6382

Provider Business Practice Location Address
First Line	:	3138 W MONTROSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1333
Country	:	US
Telephone Number	:	773-909-8467
Fax Number	:	773-945-6382

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. VICTOR MENA
Credential	:	D.N.
Telephone Number	:	773-909-8467

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	02/11/2016

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