MEDICARE: DR. CHRISTOPHER HASLETT DC

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	2014040733	MO
2	111N00000X	Chiropractor	038.012858	IL

General Provider Information

NPI Number	:	1487042818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER HASLETT DC

Provider Business Mailing Address
First Line	:	400 N WELLS ST STE 340
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 340
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-2761
Country	:	US
Telephone Number	:	312-329-9395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	03/03/2020

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Directions to “ DR. CHRISTOPHER HASLETT DC” Practice Location

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