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Contact Information

FAMILY TREE CHIROPRACTIC INC
1440 RENAISSANCE DR
SUITE 120
PARK RIDGE, IL60068-1356
 Phone: 847-403-1101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Pediatric Chiropractor

111NP0017X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FAMILY TREE CHIROPRACTIC INC

NPI Number 1629455977
LBN Legal business name FAMILY TREE CHIROPRACTIC INC
Authorized official WHITNEY FANDEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2015
Last updated 09/01/2016 - About 10 years ago
Identifiers
IL License # 038012789
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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