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NPI Code Detail

MEDICARE: NEW DAY NETWORK WELLNESS CENTER

MEDICARE: NEW DAY NETWORK WELLNESS CENTER
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
1111N00000XChiropractor038.012315IL

General Provider Information

NPI Number : 1386986024
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DAY NETWORK WELLNESS CENTER
Provider Business Mailing Address
First Line : 4308 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1753
Country : US
Telephone Number : 773-340-2225
Fax Number :
Provider Business Practice Location Address
First Line : 4308 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1753
Country : US
Telephone Number : 773-340-2225
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATHRYN RAY
Credential : D.C.
Telephone Number : 773-340-2225
Provider Enumeration Date : 03/20/2013
Last Update Date : 03/20/2013

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Directions to “NEW DAY NETWORK WELLNESS CENTER ” Practice Location

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