MEDICARE: CHRISTOPHER A HASLETT DC 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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1346875861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER A HASLETT DC P.C

Provider Business Mailing Address
First Line	:	400 N WELLS ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-2761
Country	:	US
Telephone Number	:	312-329-9395
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N WELLS ST STE 300
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-2761
Country	:	US
Telephone Number	:	312-329-9395
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISTOPHER HASLETT
Credential	:	DC
Telephone Number	:	312-329-9395

Provider Enumeration Date	:	03/04/2020
Last Update Date	:	05/21/2020

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