Organization · Type 2 NPI
La Clinica SC
Chiropractor · Chicago, IL
NPI number
1336504471
Active
Practice location
4123 W Fullerton Ave
Chicago, IL 60639-2105
Fax (708) 337-9135
Mailing address
PO Box 4782
Chicago, IL 60680-4782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 042620268 (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 1336504471
La Clinica SC's National Provider Identifier is 1336504471, issued on Dec 16, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 16, 2015.