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Organization
CHICAGO SPINE INSTITUTE PC
Active
Organization
CHICAGO SPINE INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN DAVIS D.C. (PRESIDENT)
(815) 838-7746
Entity
Organization
Contact information
Practice address
16622 W 159TH ST STE 500, LOCKPORT, IL 60441-8015
(815) 838-7746
Mailing address
16622 W 159TH ST STE 500, LOCKPORT, IL 60441-8015
(815) 838-7746
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
NULL
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
01/07/2009
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