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Contact Information

CHIRO-MED SPORTS CLINIC, INC.
3100 DUNDEE ROAD
SUITE 506
NORTHBROOK, IL60062-2437
 Phone: 847-562-0888
 Fax: 847-562-0842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHIRO-MED SPORTS CLINIC, INC.

NPI # 1710079710
LBN Legal business name CHIRO-MED SPORTS CLINIC, INC.
Authorized official HAL STEIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2006
Last updated 08/04/2012 - About 14 years ago
Identifiers
IL License # 038007974
IL Other 1620955 BCBS
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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