MEDICARE: ADVANCED CHIROPRACTIC CARE 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	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1730399254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC CARE SC

Provider Business Mailing Address
First Line	:	2626 N LAKEVIEW AVE
Second Line	:	#2707
City	:	CHICAGO
State	:	IL
Zip	:	60614-6173
Country	:	US
Telephone Number	:	773-525-6988
Fax Number	:

Provider Business Practice Location Address
First Line	:	3718 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4105
Country	:	US
Telephone Number	:	773-525-6988
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BARRY RING
Credential	:	MD
Telephone Number	:	773-525-6988

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	04/11/2011

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Directions to “ADVANCED CHIROPRACTIC CARE SC ” Practice Location

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