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Organization

VANDERBILT FAMILY CHIROPRACTIC, LLC

Active
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Organization

VANDERBILT FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN VANDERBILT D.C. (OWNER/PRESIDENT)
(847) 719-2225
Entity
Organization

Contact information

Practice address
40 LANDOVER PKWY, SUITE 2, HAWTHORN WOODS, IL 60047-7508
(847) 719-2225
(847) 719-2527
Mailing address
40 LANDOVER PKWY, SUITE 2, HAWTHORN WOODS, IL 60047-7508
(847) 719-2225
(847) 719-2527

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K10918
MEDICARE MEMBER NUMBER
IL
Enumeration date
02/08/2008
Last updated
02/08/2008
About Stedi
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