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Organization
SPINE LOFT INC
Active
Organization
SPINE LOFT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GINZBURG D.C. (PRESIDENT)
(847) 913-7844
Entity
Organization
Contact information
Practice address
612 E GOLF RD, ARLINGTON HEIGHTS, IL 60005-4061
(847) 718-0071
Mailing address
612 E GOLF RD, ARLINGTON HEIGHTS, IL 60005-4061
(847) 718-0071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010137
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038010137
LICENSE #
IL
Enumeration date
10/20/2010
Last updated
10/20/2010
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