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Organization
BACK TO BASICS CHIROPRACTIC HEALTH CENTER, LLC
Active
Organization
BACK TO BASICS CHIROPRACTIC HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER NOELLE MANTEY-VANLOOCKE D.C. (OWNER/MANAGER)
(847) 475-4960
Entity
Organization
Contact information
Practice address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 475-4960
(847) 475-4966
Mailing address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 475-4960
(847) 475-4966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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