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Organization
OMEGA SPINE REHAB SC
Active
Organization
OMEGA SPINE REHAB SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY YUN DC (PRESIDENT)
(847) 967-8899
Entity
Organization
Contact information
Practice address
9346 WAUKEGAN RD, MORTON GROVE, IL 60053
(847) 967-8899
(847) 967-1980
Mailing address
9346 WAUKEGAN RD, MORTON GROVE, IL 60053
(847) 967-8899
(847) 967-1980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634109
BCBS
IL
01
—
7733360
AETNA
IL
Enumeration date
08/20/2006
Last updated
08/22/2020
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