Ridge Chiropractic Center, Ltd. in Minooka - Chiropractor

Ridge Chiropractic Center, Ltd. - NPI 1700098902

Ridge Chiropractic Center, Ltd. is a Chiropractor in Minooka, Illinois. Ridge Chiropractic Center, Ltd. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ridge Chiropractic Center, Ltd. is 1700098902. The last update date is 2008-09-27.

Ridge Chiropractic Center, Ltd.'s current location address is 434 W. Mondamin St., Minooka, Illinois. You can contact this provider via phone number 8154671464 and fax number 8155210492. The mailing address for Ridge Chiropractic Center, Ltd. is 434 W. Mondamin St., Minooka, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ridge Chiropractic Center, Ltd.
Address 434 W. Mondamin St., Minooka, Illinois
Phone Number 8154671464
Fax Number 8155210492
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Cissell Darren
Credentials D.C.
Telephone Number 8154671464

NPI Number Detail

NPI Number 1700098902
Provider Enumeration Date 2007-05-03
Last Updated Date 2008-09-27

Provider Mailing Address Detail

Address 434 W. Mondamin St.
City Minooka
State Illinois (IL)
Post Code 60447
Phone Number 8154671464
Fax Number 8155210492

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-009977
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 Ridge Chiropractic Center, Ltd.

What is the Ridge Chiropractic Center, Ltd.'s unique identification number?

The Ridge Chiropractic Center, Ltd. has been assigned the NPI (National Provider Identifier) Number 1700098902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Ridge Chiropractic Center, Ltd. is physically located?

The Ridge Chiropractic Center, Ltd. is physically situated at the following address: 434 W. Mondamin St., Minooka, IL, 60447.

What is the Ridge Chiropractic Center, Ltd.'s specialty and taxonomy code?

The Ridge Chiropractic Center, Ltd.'s specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700098902 to Ridge Chiropractic Center, Ltd.?

The Centers for Medicare & Medicaid Services assigned the 1700098902 to Ridge Chiropractic Center, Ltd. on 2007-05-03.

As of what date were the Ridge Chiropractic Center, Ltd.'s details last updated?

The information pertaining to the Ridge Chiropractic Center, Ltd., including its address, specialty, and other details, was most recently updated on 2008-09-27.

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