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Organization
ROSELLE CHIROPRACTIC INC
Active
Organization
ROSELLE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ AHMED DC (OWNER)
(630) 295-8851
Entity
Organization
Contact information
Practice address
50 IRVING PARK RD, ROSELLE, IL 60172
(630) 295-8851
(630) 295-8852
Mailing address
50 IRVING PARK RD, ROSELLE, IL 60172
(630) 295-8851
(630) 295-8852
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-008665
IL
111N00000X
Chiropractor
038012771
IL
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
364S00000X
Clinical Nurse Specialist
209.006668
IL
Other
Enumeration date
01/03/2007
Last updated
08/20/2015
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