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Organization
NORTHERN ILLINOIS HEALTH SERVICE
Active
Organization
NORTHERN ILLINOIS HEALTH SERVICE
Active
Other names
NIHS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARKE SHIH DC (PRESIDENT)
(815) 986-4411
Entity
Organization
Contact information
Practice address
1820 WINDSOR RD, SUITE A, LOVES PARK, IL 61111-4271
(815) 986-4411
(815) 986-4414
Mailing address
1820 WINDSOR RD, SUITE A, LOVES PARK, IL 61111-4271
(815) 986-4411
(815) 986-4414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
208D00000X
General Practice Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132041
BCBS
IL
Enumeration date
04/06/2007
Last updated
09/11/2007
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