MEDICARE: DR. ALDRIN C CARRION 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
1	111N00000X	Chiropractor	038010519	IL

General Provider Information

NPI Number	:	1841364395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALDRIN C CARRION D.C.

Provider Business Mailing Address
First Line	:	4111 W 26 ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-5033
Country	:	US
Telephone Number	:	773-542-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	4111 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-4313
Country	:	US
Telephone Number	:	773-542-1111
Fax Number	:	773-542-7100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	09/07/2012

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