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NPI Code Detail

MEDICARE: DR. ALAINA GEMELAS D.C.

MEDICARE: DR. ALAINA GEMELAS 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
1111N00000XChiropractor038012528IL

General Provider Information

NPI Number : 1891125613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAINA GEMELAS D.C.
Provider Business Mailing Address
First Line : 4555 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2102
Country : US
Telephone Number : 773-273-6734
Fax Number :
Provider Business Practice Location Address
First Line : 4555 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2102
Country : US
Telephone Number : 773-273-6734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2013
Last Update Date : 12/01/2014

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