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
Address Po Box 460, Medinah, Illinois
Phone Number 6305290077
Fax Number 6305290087
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ballard Pamela
Credentials DC
Telephone Number 6303077463

NPI Number Detail

NPI Number 1265508469
Provider Enumeration Date 2006-11-28
Last Updated Date 2022-08-10

Provider Mailing Address Detail

Address Po Box 460
City Medinah
State Illinois (IL)
Post Code 60157
Phone Number 6305290077
Fax Number 6305290087

Provider's Primary Taxonomy Detail

Speciality Chiropractor
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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FAQs about Medinah Spine & Rehabilitation Ltd

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.

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