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Contact Information

GREENWOOD MEDICAL CORP SC
11001 S. KEDZIE AVENUE
CHICAGO, IL60655
 Phone: 773-239-7777
 Fax: 773-239-5787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GREENWOOD MEDICAL CORP SC

NPI Number 1346453719
LBN Legal business name GREENWOOD MEDICAL CORP SC
Authorized official JOELLEN MAJKA - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2007
Last updated 02/01/2011 - About 15 years ago
Identifiers
IL License # 038-006677
IL Other 21623172 BLUE CROSS BLUE SHIELD
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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