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Contact Information

CHIROPRACTIC MEDICINE & ASSOCIATES OF DUPAGE
1600 N MAIN ST
WHEATON, IL60187-3145
 Phone: 630-510-7774
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CHIROPRACTIC MEDICINE & ASSOCIATES OF DUPAGE

NPI # 1508071135
LBN Legal business name CHIROPRACTIC MEDICINE & ASSOCIATES OF DUPAGE
Authorized official FRANKLIN FORMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2007
Last updated 03/08/2012 - About 14 years ago
Identifiers
IL License # 038003478
Other 1548351216 NATIONAL PROV TYPE 1 ID
IL Other 2290080 IL BCBS NUMBER
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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