MEDICARE: NORTH AND HARLEM HEALTH PLAZA LTD

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

General Provider Information

NPI Number	:	1821248766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH AND HARLEM HEALTH PLAZA LTD

Provider Business Mailing Address
First Line	:	6957 W NORTH AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302
Country	:	US
Telephone Number	:	708-445-4880
Fax Number	:

Provider Business Practice Location Address
First Line	:	6957 NORTH AVE
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-1068
Country	:	US
Telephone Number	:	708-445-4880
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HARSHADBHAI N PATEL
Credential	:	D.C.
Telephone Number	:	708-445-4880

Provider Enumeration Date	:	09/29/2008
Last Update Date	:	09/29/2008

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