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NPI Code Detail

MEDICARE: PALATINE CHIROPRACTIC PLLC

MEDICARE: PALATINE CHIROPRACTIC PLLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1780285940
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALATINE CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 1400 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-1837
Country : US
Telephone Number : 847-469-4567
Fax Number :
Provider Business Practice Location Address
First Line : 1400 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-1837
Country : US
Telephone Number : 847-469-4567
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SCOTT CRUSE
Credential :
Telephone Number : 224-250-3526
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/07/2024

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Directions to “PALATINE CHIROPRACTIC PLLC ” Practice Location

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