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Organization
VANFOSSEN CHIROPRACTIC PC
Active
Organization
VANFOSSEN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE VANFOSSEN DC (VP)
(847) 439-2954
Entity
Organization
Contact information
Practice address
55 TURNER AVE, ELK GROVE VILLAGE, IL 60007-3930
(847) 439-2954
Mailing address
55 TURNER AVE, ELK GROVE VILLAGE, IL 60007-3930
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630228
BLUE CROSS
IL
Enumeration date
04/23/2007
Last updated
08/22/2020
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