Back To Basics Chiropractic Health Center, Llc in Evanston - Chiropractor
Back To Basics Chiropractic Health Center, Llc - NPI 1306030754
Back To Basics Chiropractic Health Center, Llc is a Chiropractor in Evanston, Illinois. Back To Basics Chiropractic Health Center, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back To Basics Chiropractic Health Center, Llc is 1306030754. The last update date is 2007-08-29.
Back To Basics Chiropractic Health Center, Llc's current location address is 1318 Chicago Ave, Evanston, Illinois. You can contact this provider via phone number 8474754960 and fax number 8474754966. The mailing address for Back To Basics Chiropractic Health Center, Llc is 1318 Chicago Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Basics Chiropractic Health Center, Llc |
|---|---|
| Address | 1318 Chicago Ave, Evanston, Illinois |
| Phone Number | 8474754960 |
| Fax Number | 8474754966 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MANA |
|---|---|
| Authorized Official Name | Mantey-Vanloocke Noelle Heather |
| Credentials | D.C. |
| Telephone Number | 8474754960 |
NPI Number Detail
| NPI Number | 1306030754 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 1318 Chicago Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014725 |
| Phone Number | 8474754960 |
| Fax Number | 8474754966 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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 |
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What is the Back To Basics Chiropractic Health Center, Llc's 1306030754?
The Back To Basics Chiropractic Health Center, Llc's NPI (National Provider Identifier) Number is 1306030754. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Back To Basics Chiropractic Health Center, Llc is located?
The Back To Basics Chiropractic Health Center, Llc is situated at the following address: 1318 Chicago Ave, Evanston, IL, 602014725.
What is the Back To Basics Chiropractic Health Center, Llc's area of specialization and corresponding taxonomy classification?
The Back To Basics Chiropractic Health Center, Llc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1306030754 to Back To Basics Chiropractic Health Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1306030754 to Back To Basics Chiropractic Health Center, Llc on 2007-08-29.
As of what date were the details pertaining to Back To Basics Chiropractic Health Center, Llc last refreshed?
The information related to the Back To Basics Chiropractic Health Center, Llc, including its address, specialty, and other relevant details, was last updated on 2007-08-29.