James C. Shroba in Oak Lawn - Sports Physician
James C. Shroba - NPI 1427121763
James C. Shroba is a Sports Physician in Oak Lawn, Illinois. James C. Shroba practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for James C. Shroba is 1427121763. The last update date is 2007-07-08.
James C. Shroba's current location address is 4809 W 95th St, Oak Lawn, Illinois. You can contact this provider via phone number 7084250770 and fax number 7084250880. The mailing address for James C. Shroba is 4809 W 95th St, Oak Lawn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James C. Shroba |
|---|---|
| Address | 4809 W 95th St, Oak Lawn, Illinois |
| Phone Number | 7084250770 |
| Fax Number | 7084250880 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1427121763 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4809 W 95th St |
|---|---|
| City | Oak Lawn |
| State | Illinois (IL) |
| Post Code | 604532501 |
| Phone Number | 7084250770 |
| Fax Number | 7084250880 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38007063 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique provider identifier assigned to James C. Shroba?
The James C. Shroba has been issued the NPI (National Provider Identifier) 1427121763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where James C. Shroba is located?
The James C. Shroba is situated at the following address: 4809 W 95Th St, Oak Lawn, IL, 604532501.
What is the James C. Shroba's specialty and taxonomy code?
The James C. Shroba's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the James C. Shroba receive its 1427121763 assignment from the Centers for Medicare & Medicaid Services?
The James C. Shroba was assigned its 1427121763 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding James C. Shroba, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James C. Shroba, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1932102142
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