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NPI Code Detail

MEDICARE: BONE AND JOINT CLINIC

MEDICARE: BONE AND JOINT CLINIC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1407246515
Entity Type Code : Organization
Provider Name (Legal Business Name) : BONE AND JOINT CLINIC
Provider Business Mailing Address
First Line : 4334 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5039
Country : US
Telephone Number : 773-615-9446
Fax Number :
Provider Business Practice Location Address
First Line : 4334 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5039
Country : US
Telephone Number : 773-615-9446
Fax Number :
Authorized Official
Title or Position : OWNER
Name : THOMAS DZIELAWSKI
Credential : D.C
Telephone Number : 773-615-9446
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

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Directions to “BONE AND JOINT CLINIC ” Practice Location

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