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Organization
CHARLES W CHAPPLE DC SC
Active
Organization
CHARLES W CHAPPLE DC SC
Active
Other names
Advanced Chiropractic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W CHAPPLE DC (CHIROPRACTOR OWNER)
(630) 894-8778
Entity
Organization
Contact information
Practice address
360 E IRVING PARK RD, ROSELLE, IL 60172-2007
(630) 894-8778
(630) 894-8873
Mailing address
360 E IRVING PARK RD, ROSELLE, IL 60172-2007
(630) 894-8778
(630) 894-8873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042616694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02221909
BLUE CROSS BLUE SHIELD
IL
01
—
0618371001
CIGNA
IL
Enumeration date
02/20/2007
Last updated
06/30/2008
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