Individual provider · Type 1 NPI
Katie Rose Fortman, DC
Chiropractor · Chicago, IL
NPI number
1669129136
Active
Practice location
600 W Chicago Ave Ste 1000
Chicago, IL 60654-2801
Mailing address
1111 W 14th Pl Unit 109
Chicago, IL 60608-2796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038013753 (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 1669129136
Katie Rose Fortman, DC's National Provider Identifier is 1669129136, issued on Mar 4, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 22, 2024.