Potetti'Sback In Shape Chiropactic Center in Gurnee - Chiropractor
Potetti'Sback In Shape Chiropactic Center - NPI 1336321587
Potetti'Sback In Shape Chiropactic Center is a Chiropractor in Gurnee, Illinois. Potetti'Sback In Shape Chiropactic Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Potetti'Sback In Shape Chiropactic Center is 1336321587. The last update date is 2007-11-29.
Potetti'Sback In Shape Chiropactic Center's current location address is 5101 Washington St, Gurnee, Illinois. You can contact this provider via phone number 8472492225 and fax number 8472490078. The mailing address for Potetti'Sback In Shape Chiropactic Center is 5101 Washington St, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potetti'Sback In Shape Chiropactic Center |
|---|---|
| Address | 5101 Washington St, Gurnee, Illinois |
| Phone Number | 8472492225 |
| Fax Number | 8472490078 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Potetti Joseph Leo |
| Credentials | D.C. |
| Telephone Number | 8472492225 |
NPI Number Detail
| NPI Number | 1336321587 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 5101 Washington St |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600315916 |
| Phone Number | 8472492225 |
| Fax Number | 8472490078 |
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 |
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What is the Potetti'Sback In Shape Chiropactic Center's unique identification number?
The Potetti'Sback In Shape Chiropactic Center has been assigned the NPI (National Provider Identifier) Number 1336321587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Potetti'Sback In Shape Chiropactic Center's physical address?
The Potetti'Sback In Shape Chiropactic Center is physically located at 5101 Washington St, in the city of Gurnee, IL, with the postal code 600315916.
What is Potetti'Sback In Shape Chiropactic Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Potetti'Sback In Shape Chiropactic Center is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did Potetti'Sback In Shape Chiropactic Center receive its 1336321587 assignment?
The Potetti'Sback In Shape Chiropactic Center was assigned its 1336321587 on 2007-11-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Potetti'Sback In Shape Chiropactic Center most recently updated?
The details pertaining to the Potetti'Sback In Shape Chiropactic Center, including its address, specialty, and other relevant information, were last refreshed on 2007-11-29.
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