MEDICARE: LANDIN CHIROPRACTIC CARE, PC

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	038009723	IL

General Provider Information

NPI Number	:	1528188109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANDIN CHIROPRACTIC CARE, PC

Provider Business Mailing Address
First Line	:	2010 LARKIN AVE
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-5845
Country	:	US
Telephone Number	:	847-648-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 LARKIN AVE
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-5845
Country	:	US
Telephone Number	:	224-856-5617
Fax Number	:	224-856-5619

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANA BRUCE LANDIN
Credential	:	DC
Telephone Number	:	847-648-0223

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	08/12/2020

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