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NPI Code Detail

MEDICARE: DR. CARLOS HALWAJI D.C.

MEDICARE:  DR. CARLOS  HALWAJI  D.C.
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
1111NN0400XNeurology Chiropractor4121012WI
2111NN0400XNeurology ChiropractorIL

General Provider Information

NPI Number : 1669546313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS HALWAJI D.C.
Provider Business Mailing Address
First Line : 3358 W 26TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-4037
Country : US
Telephone Number : 773-522-1340
Fax Number :
Provider Business Practice Location Address
First Line : 3358 W 26TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60623-4037
Country : US
Telephone Number : 773-522-1340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CARLOS HALWAJI D.C.” Practice Location

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