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Organization
ACUCHIRO SC
Active
Organization
ACUCHIRO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A. DAVIS (DOCTOR)
(312) 541-1154
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE STE 621, CHICAGO, IL 60601-3943
(312) 541-1154
Mailing address
333 N MICHIGAN AVE STE 621, CHICAGO, IL 60601-3943
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1683029
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/03/2011
Last updated
01/03/2011
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