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NPI Code Detail

MEDICARE: CHICAGO CHIROPRACTIC & SPORTS MEDICINE LLC

MEDICARE: CHICAGO CHIROPRACTIC & SPORTS MEDICINE LLC
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
1111N00000XChiropractor038010867IL

General Provider Information

NPI Number : 1518269224
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHICAGO CHIROPRACTIC & SPORTS MEDICINE LLC
Provider Business Mailing Address
First Line : 1847 OAK ST
Second Line :
City : NORTHFIELD
State : IL
Zip : 60093-3013
Country : US
Telephone Number : 847-881-2861
Fax Number : 847-881-2850
Provider Business Practice Location Address
First Line : 1847 OAK ST
Second Line :
City : NORTHFIELD
State : IL
Zip : 60093-3013
Country : US
Telephone Number : 847-881-2861
Fax Number : 847-881-2850
Authorized Official
Title or Position : DOCTOR CHIROPRACTIC
Name : DR. JOSHUA M AKIN
Credential : DC
Telephone Number : 847-881-2861
Provider Enumeration Date : 12/01/2010
Last Update Date : 12/01/2010

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Directions to “CHICAGO CHIROPRACTIC & SPORTS MEDICINE LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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