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Contact Information

CHIROPRACTIC SPECIALIST, INC.
1000 ZSCHOKKE ST
HIGHLAND, IL62249-1650
 Phone: 618-654-3000
 Fax: 618-654-1567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
 

Chiropractor

111N00000X 35 Chiropractic
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHIROPRACTIC SPECIALIST, INC.

NPI Number 1629378872
LBN Legal business name CHIROPRACTIC SPECIALIST, INC.
Authorized official JORDAN VICKERY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2010
Last updated 01/24/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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