MEDICARE: COMPREHENSIVE SPINE & BODY CARE, 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
1	172P00000X	Naprapath	181.000366	IL

General Provider Information

NPI Number	:	1316233364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE SPINE & BODY CARE, INC.

Provider Business Mailing Address
First Line	:	4210 W. IRVING PARK ROAD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641
Country	:	US
Telephone Number	:	312-493-7744
Fax Number	:	773-777-7055

Provider Business Practice Location Address
First Line	:	4210 W. IRVING PARK ROAD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641
Country	:	US
Telephone Number	:	312-493-7744
Fax Number	:	773-777-7055

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOMINIKA ANDZELICA PIOTROWSKA
Credential	:	D.N.
Telephone Number	:	312-493-7744

Provider Enumeration Date	:	06/28/2011
Last Update Date	:	06/28/2011

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