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NPI Code Detail

MEDICARE: VANSH CHIROPRACTIC INC

MEDICARE: VANSH CHIROPRACTIC INC
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
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1730383688
Entity Type Code : Organization
Provider Name (Legal Business Name) : VANSH CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 3340 RONAN DR
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-6739
Country : US
Telephone Number : 847-630-5414
Fax Number : 847-520-0500
Provider Business Practice Location Address
First Line : 985 S BUFFALO GROVE RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-3702
Country : US
Telephone Number : 847-541-4878
Fax Number : 847-520-0500
Authorized Official
Title or Position : PRESIDENT
Name : DR. JILLKA VANSH
Credential : D.C
Telephone Number : 847-630-5414
Provider Enumeration Date : 06/13/2007
Last Update Date : 01/14/2008

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Directions to “VANSH CHIROPRACTIC INC ” Practice Location

Language Start Address Practice Location
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