Southport Grace Wellness Center Ltd. in Chicago - Chiropractor
Southport Grace Wellness Center Ltd. - NPI 1700089430
Southport Grace Wellness Center Ltd. is a Chiropractor in Chicago, Illinois. Southport Grace Wellness Center Ltd. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Southport Grace Wellness Center Ltd. is 1700089430. The last update date is 2020-08-22.
Southport Grace Wellness Center Ltd.'s current location address is 1209 W. Grace St., Chicago, Illinois. You can contact this provider via phone number 7735252225. The mailing address for Southport Grace Wellness Center Ltd. is 1209 W. Grace St., Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southport Grace Wellness Center Ltd. |
|---|---|
| Address | 1209 W. Grace St., Chicago, Illinois |
| Phone Number | 7735252225 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wolcott C. Christopher |
| Credentials | DC |
| Telephone Number | 7735252225 |
NPI Number Detail
| NPI Number | 1700089430 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1209 W. Grace St. |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60613 |
| Phone Number | 7735252225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
Definition: 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 inte |
|
Post Comment/ Review Below
What is the Southport Grace Wellness Center Ltd.'s 1700089430?
The Southport Grace Wellness Center Ltd.'s NPI (National Provider Identifier) Number is 1700089430. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Southport Grace Wellness Center Ltd.?
The Southport Grace Wellness Center Ltd. is situated at 1209 W. Grace St., in the city of Chicago, state of IL, with the zip code 60613.
What is Southport Grace Wellness Center Ltd.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southport Grace Wellness Center Ltd. is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Southport Grace Wellness Center Ltd. receive the assignment of its 1700089430 from the Centers for Medicare & Medicaid Services?
The Southport Grace Wellness Center Ltd. was issued its 1700089430 by the Centers for Medicare & Medicaid Services on 2007-06-08.
As of what date were the Southport Grace Wellness Center Ltd.'s details last updated?
The information pertaining to the Southport Grace Wellness Center Ltd., including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI