# INNATE CONCEPTS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1831569813
- **Authorized official:** DANA MARIE CAPOBIANCO (MASSAGE THERAPIST)
- **Authorized official phone:** (847) 951-9447

## Contact information

- **Practice address:** 668 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3364
- **Practice address phone:** (847) 577-2660
- **Practice address fax:** (847) 577-2661
- **Mailing address:** 2323 GLENMOOR DR, WEST DUNDEE, IL 60118-3344
- **Mailing address phone:** (847) 951-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 227016247 | IL | Yes |

## Other

- **Enumeration date:** 10/02/2015
- **Last updated:** 10/02/2015