Itasca Health & Chiropractic Ltd. in Itasca - Chiropractor

Itasca Health & Chiropractic Ltd. - NPI 1518010545

Itasca Health & Chiropractic Ltd. is a Chiropractor in Itasca, Illinois. Itasca Health & Chiropractic Ltd. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Itasca Health & Chiropractic Ltd. is 1518010545. The last update date is 2020-07-30.

Itasca Health & Chiropractic Ltd.'s current location address is 1131 N Prospect Ave, Itasca, Illinois. You can contact this provider via phone number 6302509200. The mailing address for Itasca Health & Chiropractic Ltd. is 1131 N Prospect Ave, Itasca, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Itasca Health & Chiropractic Ltd.
Address 1131 N Prospect Ave, Itasca, Illinois
Phone Number 6302509200
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Hanson Joel
Credentials DC
Telephone Number 6302509200

NPI Number Detail

NPI Number 1518010545
Provider Enumeration Date 2007-01-21
Last Updated Date 2020-07-30

Provider Mailing Address Detail

Address 1131 N Prospect Ave
City Itasca
State Illinois (IL)
Post Code 601431442
Phone Number 6302509200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-008856
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
2227528 IL BLUE CROSS BLUE SHIELD

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FAQs about Itasca Health & Chiropractic Ltd.

What is the unique identification code assigned to Itasca Health & Chiropractic Ltd. by the Centers for Medicare & Medicaid Services?

The Itasca Health & Chiropractic Ltd. has been issued the NPI (National Provider Identifier) 1518010545. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Itasca Health & Chiropractic Ltd. is located?

The Itasca Health & Chiropractic Ltd. is situated at the following address: 1131 N Prospect Ave, Itasca, IL, 601431442.

What is Itasca Health & Chiropractic Ltd.'s area of expertise and its corresponding taxonomy classification?

The Itasca Health & Chiropractic Ltd.'s field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1518010545 to Itasca Health & Chiropractic Ltd.?

The Centers for Medicare & Medicaid Services assigned the 1518010545 to Itasca Health & Chiropractic Ltd. on 2007-01-21.

As of what date were the details related to Itasca Health & Chiropractic Ltd. most recently updated or revised?

The information pertaining to Itasca Health & Chiropractic Ltd., including its address, specialty, and other relevant details, was last updated or revised on 2020-07-30.

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