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Contact Information

AVANZADO QUIROPRACTICO SC
646 W WELLINGTON AVE
SUITE # 2E
CHICAGO, IL60657-9329
 Phone: 773-426-2264
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for AVANZADO QUIROPRACTICO SC

NPI Number 1972726438
LBN Legal business name AVANZADO QUIROPRACTICO SC
Authorized official WILLIAM CAWLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 04/29/2011 - About 15 years ago
Identifiers
IL License # 038009827
IL Other 01635106 BLUE CROSS AND 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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