Organization · Type 2 NPI
Health Source of Wicker Park PC
Chiropractor · Chicago, IL
NPI number
1215262845
Active
Practice location
1448 N. Milwaukee Ave., 3rd Fl
Chicago, IL 60622
Fax (773) 772-4044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038008228 (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.
Another provider at this address
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About NPI 1215262845
Health Source of Wicker Park PC's National Provider Identifier is 1215262845, issued on Oct 15, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 30, 2024.