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Contact Information

CHICAGO SPINE AND SPORTS, P.C.
922 W DIVERSEY PKWY
CHICAGO, IL60614-1416
 Phone: 773-529-0057
 Fax: 773-529-0231
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

111NX0800X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHICAGO SPINE AND SPORTS PC · (Female)

NPI # 1538469184
Status Active
Credentials
Entity Individual
Enumeration date 10/29/2010
Last updated 03/18/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 038009427
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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