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Organization
NORTHWEST CHIROPRACTIX INC.
Active
Organization
NORTHWEST CHIROPRACTIX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN A SIDDIQUI DC (OWNER)
(773) 862-3180
Entity
Organization
Contact information
Practice address
3043 W FULLERTON AVE, CHICAGO, IL 60647-2807
(773) 862-3180
(773) 661-0300
Mailing address
3043 W FULLERTON AVE, CHICAGO, IL 60647-2807
(773) 862-3180
(773) 661-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008564
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001622785
BCBS PROVIDER #
IL
Enumeration date
01/05/2007
Last updated
02/08/2010
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