Homer Glen Chiropractic Center, Sc in Homer Glen - Chiropractor

Homer Glen Chiropractic Center, Sc - NPI 1124214325

Homer Glen Chiropractic Center, Sc is a Chiropractor in Homer Glen, Illinois. Homer Glen Chiropractic Center, Sc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Homer Glen Chiropractic Center, Sc is 1124214325. The last update date is 2007-09-20.

Homer Glen Chiropractic Center, Sc's current location address is 13161 W 143rd St, Homer Glen, Illinois. You can contact this provider via phone number 7083019121 and fax number 7083014372. The mailing address for Homer Glen Chiropractic Center, Sc is 13161 W 143rd St, Homer Glen, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Homer Glen Chiropractic Center, Sc
Address 13161 W 143rd St, Homer Glen, Illinois
Phone Number 7083019121
Fax Number 7083014372
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CO-OWNER
Authorized Official Name Maholy Douglas Christopher
Credentials D.C.
Telephone Number 8153028763

NPI Number Detail

NPI Number 1124214325
Provider Enumeration Date 2007-09-20
Last Updated Date 2007-09-20

Provider Mailing Address Detail

Address 13161 W 143rd St
City Homer Glen
State Illinois (IL)
Post Code 604916890
Phone Number 7083019121
Fax Number 7083014372

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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FAQs about Homer Glen Chiropractic Center, Sc

What is the unique 10-digit identifier code issued to Homer Glen Chiropractic Center, Sc by the Centers for Medicare & Medicaid Services?

The Homer Glen Chiropractic Center, Sc has been assigned the NPI (National Provider Identifier) 1124214325 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Homer Glen Chiropractic Center, Sc's facilities are situated?

The facilities of Homer Glen Chiropractic Center, Sc are physically located at the following address: 13161 W 143Rd St, Homer Glen, IL, 604916890.

What is Homer Glen Chiropractic Center, Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Homer Glen Chiropractic Center, Sc is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

On what date did the Homer Glen Chiropractic Center, Sc receive the assignment of its 1124214325 from the Centers for Medicare & Medicaid Services?

The Homer Glen Chiropractic Center, Sc was issued its 1124214325 by the Centers for Medicare & Medicaid Services on 2007-09-20.

As of what date were the Homer Glen Chiropractic Center, Sc's details last updated?

The information pertaining to the Homer Glen Chiropractic Center, Sc, including its address, specialty, and other details, was most recently updated on 2007-09-20.

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