Ethen Chiropractic & Wellness, Sc in Glencoe - Chiropractor
Ethen Chiropractic & Wellness, Sc - NPI 1457530628
Ethen Chiropractic & Wellness, Sc is a Chiropractor in Glencoe, Illinois. Ethen Chiropractic & Wellness, Sc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ethen Chiropractic & Wellness, Sc is 1457530628. The last update date is 2011-09-22.
Ethen Chiropractic & Wellness, Sc's current location address is 630 Vernon Ave, Glencoe, Illinois. You can contact this provider via phone number 8478354700 and fax number 8478358408. The mailing address for Ethen Chiropractic & Wellness, Sc is 630 Vernon Ave, Glencoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ethen Chiropractic & Wellness, Sc |
|---|---|
| Address | 630 Vernon Ave, Glencoe, Illinois |
| Phone Number | 8478354700 |
| Fax Number | 8478358408 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ethen John Joseph |
| Credentials | DC |
| Telephone Number | 8478354700 |
NPI Number Detail
| NPI Number | 1457530628 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2011-09-22 |
Provider Mailing Address Detail
| Address | 630 Vernon Ave |
|---|---|
| City | Glencoe |
| State | Illinois (IL) |
| Post Code | 60022 |
| Phone Number | 8478354700 |
| Fax Number | 8478358408 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9358811 | OH | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the Ethen Chiropractic & Wellness, Sc's unique identification number?
The Ethen Chiropractic & Wellness, Sc has been assigned the NPI (National Provider Identifier) Number 1457530628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ethen Chiropractic & Wellness, Sc is physically located?
The Ethen Chiropractic & Wellness, Sc is physically situated at the following address: 630 Vernon Ave, Glencoe, IL, 60022.
What is Ethen Chiropractic & Wellness, Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ethen Chiropractic & Wellness, Sc's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457530628 to Ethen Chiropractic & Wellness, Sc?
The Centers for Medicare & Medicaid Services originally issued the 1457530628 to Ethen Chiropractic & Wellness, Sc on 2007-10-24.
When was the information regarding Ethen Chiropractic & Wellness, Sc most recently updated?
The details pertaining to the Ethen Chiropractic & Wellness, Sc, including its address, specialty, and other relevant information, were last refreshed on 2011-09-22.
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