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Organization
SOUTHWEST HOLISTIC CHIROPRACTIC, LTD.
Active
Organization
SOUTHWEST HOLISTIC CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CORTESI JR. D.C. (DOCTOR/OWNER)
(815) 464-9060
Entity
Organization
Contact information
Practice address
450 N LA GRANGE RD, FRANKFORT, IL 60423-1328
(815) 464-9060
Mailing address
450 N LA GRANGE RD, FRANKFORT, IL 60423-1328
(815) 464-9060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008223
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09921980
BLUECROSS/SHIELD ID
IL
Enumeration date
08/23/2006
Last updated
06/02/2008
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