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Organization
SPINEREHABCENTER
Active
Organization
SPINEREHABCENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMSHIED BAKSHODEH DC (DOCTOR/OWNER)
(312) 523-6385
Entity
Organization
Contact information
Practice address
5019 W LAWRENCE AVE, CHICAGO, IL 60630-3800
(312) 523-6385
Mailing address
5019 W LAWRENCE AVE, CHICAGO, IL 60630-3800
(312) 523-6385
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011224
IL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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