MEDICARE: DR. STEPHANIE ANN MAJ 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	038-007640	IL

General Provider Information

NPI Number	:	1972540490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE ANN MAJ D.C.

Provider Business Mailing Address
First Line	:	3210 N SOUTHPORT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3204
Country	:	US
Telephone Number	:	773-528-8485
Fax Number	:	773-528-8022

Provider Business Practice Location Address
First Line	:	3210 N SOUTHPORT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3204
Country	:	US
Telephone Number	:	773-528-8485
Fax Number	:

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	07/08/2007

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