MEDICARE: YON CHIROPRACTIC HEALTH CENTER, 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	62720581	IL

General Provider Information

NPI Number	:	1962528653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YON CHIROPRACTIC HEALTH CENTER, LTD.

Provider Business Mailing Address
First Line	:	1148 W DIVERSEY PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1319
Country	:	US
Telephone Number	:	773-296-6862
Fax Number	:	773-296-6873

Provider Business Practice Location Address
First Line	:	1148 W DIVERSEY PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1319
Country	:	US
Telephone Number	:	773-296-6862
Fax Number	:	773-296-6873

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TIMOTHY YON
Credential	:	D.C.
Telephone Number	:	773-296-6862

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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