Medinah Spine & Rehabilitation Ltd in Medinah - Chiropractor
Medinah Spine & Rehabilitation Ltd - NPI 1265508469
Medinah Spine & Rehabilitation Ltd is a Chiropractor in Medinah, Illinois. Medinah Spine & Rehabilitation Ltd practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Medinah Spine & Rehabilitation Ltd is 1265508469. The last update date is 2022-08-10.
Medinah Spine & Rehabilitation Ltd's current location address is Po Box 460, Medinah, Illinois. You can contact this provider via phone number 6305290077 and fax number 6305290087. The mailing address for Medinah Spine & Rehabilitation Ltd is Po Box 460, Medinah, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Medinah Spine & Rehabilitation Ltd |
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Address | Po Box 460, Medinah, Illinois |
Phone Number | 6305290077 |
Fax Number | 6305290087 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Ballard Pamela |
Credentials | DC |
Telephone Number | 6303077463 |
NPI Number Detail
NPI Number | 1265508469 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2022-08-10 |
Provider Mailing Address Detail
Address | Po Box 460 |
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City | Medinah |
State | Illinois (IL) |
Post Code | 60157 |
Phone Number | 6305290077 |
Fax Number | 6305290087 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 138006728 |
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 |
---|---|---|---|
38006728 | IL | -- | |
208982 | IL | MEDICARE GRP # |
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What is the unique 10-digit identifier code issued to Medinah Spine & Rehabilitation Ltd by the Centers for Medicare & Medicaid Services?
The Medinah Spine & Rehabilitation Ltd has been assigned the NPI (National Provider Identifier) 1265508469 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Medinah Spine & Rehabilitation Ltd is located?
The Medinah Spine & Rehabilitation Ltd is situated at the following address: Po Box 460, Medinah, IL, 60157.
What is Medinah Spine & Rehabilitation Ltd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Medinah Spine & Rehabilitation Ltd's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Medinah Spine & Rehabilitation Ltd receive its 1265508469 assignment from the Centers for Medicare & Medicaid Services?
The Medinah Spine & Rehabilitation Ltd was assigned its 1265508469 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Medinah Spine & Rehabilitation Ltd most recently updated or revised?
The details related to Medinah Spine & Rehabilitation Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-10.