# ROSELLE CHIROPRACTIC INC

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

## Provider details

- **NPI number:** 1841357316
- **Authorized official:** TARIQ AHMED DC (OWNER)
- **Authorized official phone:** (630) 295-8851

## Contact information

- **Practice address:** 50 IRVING PARK RD, ROSELLE, IL 60172
- **Practice address phone:** (630) 295-8851
- **Practice address fax:** (630) 295-8852
- **Mailing address:** 50 IRVING PARK RD, ROSELLE, IL 60172
- **Mailing address phone:** (630) 295-8851
- **Mailing address fax:** (630) 295-8852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038-008665 | IL | — |
| 111N00000X | Chiropractor | 038012771 | IL | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |
| 364S00000X | Clinical Nurse Specialist | 209.006668 | IL | — |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/20/2015