# SPINEREHABCENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427294024
- **Authorized official:** DR. JAMSHIED BAKSHODEH DC (DOCTOR/OWNER)
- **Authorized official phone:** (312) 523-6385

## Contact information

- **Practice address:** 5019 W LAWRENCE AVE, CHICAGO, IL 60630-3800
- **Practice address phone:** (312) 523-6385
- **Mailing address:** 5019 W LAWRENCE AVE, CHICAGO, IL 60630-3800
- **Mailing address phone:** (312) 523-6385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038011224 | IL | Yes |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 01/02/2009