MEDICARE: WALKING TALL ,PC

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		IL

General Provider Information

NPI Number	:	1336339985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKING TALL ,PC

Provider Business Mailing Address
First Line	:	PO BOX 10037
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-0037
Country	:	US
Telephone Number	:	312-335-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 N STATE ST
Second Line	:	#2F
City	:	CHICAGO
State	:	IL
Zip	:	60610-2717
Country	:	US
Telephone Number	:	312-335-8000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FRANCOISE PEDIGO-MARTIN
Credential	:	DC
Telephone Number	:	312-335-8000

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	07/30/2007

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Directions to “WALKING TALL ,PC ” Practice Location

Language	Start Address	Practice Location

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