Organization · Type 2 NPI

Elm Street Medical Center Ltd

Chiropractor · Mchenry, IL

NPI number 1164645008 Active

Practice location

4921 W Elm St, Suite A
Mchenry, IL 60050-4020

Fax (815) 344-1208

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038-005010 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1164645008

Elm Street Medical Center Ltd's National Provider Identifier is 1164645008, issued on Apr 10, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mchenry, IL. The record was last updated on Aug 21, 2013.