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Organization
ORION DIAGNOSTIC & CHIROPRACTIC CENTER
Active
Organization
ORION DIAGNOSTIC & CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED A. KHORSHID C.D. (CLINIC DIRECTOR)
(708) 288-2239
Entity
Organization
Contact information
Practice address
9830 S. RIDGELAND AVE, SUITE # 5, CHICAGO RIDGE, IL 60415
(708) 288-2239
(708) 233-6167
Mailing address
9004 RIDGELAND AVE, OAK LAWN, IL 60453-1414
(708) 288-2239
(708) 233-6167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633049
BC/BS
IL
01
—
647758
ACN
IL
01
—
K08024
MEDICARE MEMBER NUMBER
IL
Enumeration date
07/31/2007
Last updated
06/06/2008
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