MEDICARE: JOYCE FAMILY CHIROPRACTIC 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	225100000X	Physical Therapist	070011492	IL
2	111N00000X	Chiropractor	038-010196	IL

General Provider Information

NPI Number	:	1386677557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYCE FAMILY CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	3440 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3302
Country	:	US
Telephone Number	:	773-429-8912
Fax Number	:	773-429-9850

Provider Business Practice Location Address
First Line	:	3440 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3302
Country	:	US
Telephone Number	:	773-429-8912
Fax Number	:	773-429-9850

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN JOSEPH JOYCE
Credential	:	D.C.
Telephone Number	:	773-429-8912

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	05/15/2015

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