Organization · Type 2 NPI
Marque Medicos Kedzie, LLC
Chiropractor · Chicago, IL
NPI number
1194985747
Active
Practice location
5825 S Kedzie Ave
Chicago, IL 60629-3212
Fax (773) 283-3610
Mailing address
4176 W Montrose Ave
Chicago, IL 60641-2161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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 1194985747
Marque Medicos Kedzie, LLC's National Provider Identifier is 1194985747, issued on Jun 16, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 16, 2008.