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NPI Code Detail

MEDICARE: DIVISION CHIROPRACTIC & ACUPUNCTURE

MEDICARE: DIVISION CHIROPRACTIC & ACUPUNCTURE
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
1111N00000XChiropractor038009720IL

General Provider Information

NPI Number : 1891069878
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVISION CHIROPRACTIC & ACUPUNCTURE
Provider Business Mailing Address
First Line : 1630 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-3808
Country : US
Telephone Number : 773-276-2801
Fax Number : 773-276-2803
Provider Business Practice Location Address
First Line : 1630 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-3808
Country : US
Telephone Number : 773-276-2801
Fax Number : 773-276-2803
Authorized Official
Title or Position : OFFICER
Name : DR. ALICIA M COHLER
Credential : D.C
Telephone Number : 773-276-2801
Provider Enumeration Date : 03/08/2012
Last Update Date : 03/08/2012

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Directions to “DIVISION CHIROPRACTIC & ACUPUNCTURE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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