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Organization
SOUTHLAND CHIROPRACTIC AND REHAB
Active
Organization
SOUTHLAND CHIROPRACTIC AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KACZMARSKI D.C (PRESIDENT)
(773) 445-7246
Entity
Organization
Contact information
Practice address
3015 W 111TH ST, CHICAGO, IL 60655-2246
(773) 445-7246
Mailing address
3015 W 111TH ST, CHICAGO, IL 60655-2246
(773) 445-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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