Organization
CHIROPRACTIC PAIN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TSAKALAKIS D.C. (OWNER)
(773) 586-2201
Entity
Organization
Contact information
Practice address
6657 WEST ARCHER AVENUE, CHICAGO, IL 60638
(773) 586-2201
Mailing address
6657 WEST ARCHER AVENUE, CHICAGO, IL 60638
(773) 586-2201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633095
BLUE CROSS/BLUE SHIELD
IL
01
—
K10973
PIN#
IL
Enumeration date
10/02/2006
Last updated
08/22/2020
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