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Organization
WESTCHESTER OLYMPIC SERVICE CORP
Active
Organization
WESTCHESTER OLYMPIC SERVICE CORP
Active
Other names
Olympic Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGECO GEC (PRESIDENT)
(708) 681-5000
Entity
Organization
Contact information
Practice address
10055 W ROOSEVELT RD SUITE E, WESTCHESTER, IL 60154
(708) 681-5000
(708) 681-5051
Mailing address
10055 W ROOSEVELT RD SUITE E, WESTCHESTER, IL 60154
(708) 681-5000
(708) 681-5051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630203
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/28/2006
Last updated
08/22/2020
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