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Organization
CORE REHAB, LLC
Active
Organization
CORE REHAB, LLC
Active
Other names
Midwest Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA C CHUNDURI (PRESIDENT/OWNER)
(312) 952-2226
Entity
Organization
Contact information
Practice address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 229-9600
(773) 229-9611
Mailing address
6524 W ARCHER AVE, CHICAGO, IL 60638-2400
(773) 229-9600
(773) 229-9611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
06/17/2020
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