MEDICARE: CHIROPRACTIC COMPANY - SHOREWOOD

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	225100000X	Physical Therapist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1841595030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC COMPANY - SHOREWOOD

Provider Business Mailing Address
First Line	:	3510 N OAKLAND AVE
Second Line	:	STE. 201
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2746
Country	:	US
Telephone Number	:	414-962-0700
Fax Number	:	414-271-1727

Provider Business Practice Location Address
First Line	:	3510 N OAKLAND AVE
Second Line	:	STE. 201
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2746
Country	:	US
Telephone Number	:	414-962-0700
Fax Number	:	414-271-1727

Authorized Official
Title or Position	:	CFO
Name	:	JOHN P CORSI
Credential	:	DC
Telephone Number	:	414-354-5377

Provider Enumeration Date	:	01/19/2011
Last Update Date	:	08/25/2025

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Directions to “CHIROPRACTIC COMPANY - SHOREWOOD ” Practice Location

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