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Organization
PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C.
Active
Organization
PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CLIFFORD ELLSTEIN D.C. (PRESIDENT)
(708) 848-8122
Entity
Organization
Contact information
Practice address
1011 LAKE ST, SUITE 407, OAK PARK, IL 60301-1148
(708) 848-8122
(708) 848-8109
Mailing address
1011 LAKE ST, SUITE 407, OAK PARK, IL 60301-1148
(708) 848-8122
(708) 848-8109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-004815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601167
BCBS PIN
IL
Enumeration date
12/21/2006
Last updated
07/17/2008
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