MEDICARE: SKYPOINT CHIROPRACTIC & ACUPUNCTURE SC

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		IL

General Provider Information

NPI Number	:	1619166873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKYPOINT CHIROPRACTIC & ACUPUNCTURE SC

Provider Business Mailing Address
First Line	:	2112 WINDING RIVER DR STE 120
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8555
Country	:	US
Telephone Number	:	847-387-9452
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 WINDING RIVER DR STE 120
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-8555
Country	:	US
Telephone Number	:	847-387-9452
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. KEITH WONG
Credential	:	D.C.
Telephone Number	:	847-387-9452

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	12/26/2007

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