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Organization
WICKER PARK SPINE AND STABILITY, LLC
Active
Organization
WICKER PARK SPINE AND STABILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI HEATHER KIRSCH DC (OWNER)
(312) 928-9282
Entity
Organization
Contact information
Practice address
1641-1643 W NORTH AVE, UNIT 1, CHICAGO, IL 60622
(312) 928-9282
(312) 588-7211
Mailing address
212 N CARPENTER ST UNIT A1A2, CHICAGO, IL 60607-1713
(312) 928-9282
(312) 588-7211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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