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Organization
MODERN HEALTH & BODY INC
Active
Organization
MODERN HEALTH & BODY INC
Active
Other names
Northcenter Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRYSTEN TATAREK DC (PRESIDENT)
(773) 782-7410
Entity
Organization
Contact information
Practice address
4045 N DAMEN AVE, SUITE 1, CHICAGO, IL 60618-3148
(773) 296-2766
Mailing address
4045 N DAMEN AVE, SUITE 1, CHICAGO, IL 60618-3148
(773) 296-2766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011455
IL
Other
Enumeration date
06/12/2014
Last updated
08/04/2014
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