# BIOTIDAL TECHNOLOGY, INC

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

## Provider details

- **NPI number:** 1710145933
- **Authorized official:** MR. GREGG S HORIGAN D.C. (PRESIDENT)
- **Authorized official phone:** (773) 991-5131

## Contact information

- **Practice address:** 3354 N PAULINA ST, SUITE 206C, CHICAGO, IL 60657-1068
- **Practice address phone:** (773) 991-5131
- **Mailing address:** 4103 W POTOMAC AVE, CHICAGO, IL 60651-1853
- **Mailing address phone:** (773) 486-9546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038-006984 | IL | Yes |

## Other

- **Enumeration date:** 05/23/2008
- **Last updated:** 05/23/2008