Individual provider · Type 1 NPI
Sitsadaphone Phetchamphone, DC
Chiropractor · Chicago, IL
NPI number
1780739284
Active
Practice location
1157 W 18th St
Chicago, IL 60608
Other practice locations
- 504 Legacy Plz W, La Porte, La Porte, IN 46350-5254 · (219) 326-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 038010281 (IL) |
| Chiropractor Primary | 111N00000X | 038-010281 (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 1780739284
Sitsadaphone Phetchamphone, DC's National Provider Identifier is 1780739284, issued on Jan 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 8, 2019.