Organization
ELM CHIROPRACTIC FITNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA LILLIAN DOYLE D.C. (OWNER)
(630) 530-4744
Entity
Organization
Contact information
Practice address
475 S SPRING RD, ELMHURST, IL 60126-3857
(630) 530-4744
Mailing address
475 S SPRING RD, ELMHURST, IL 60126-3857
(630) 530-4744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060.004963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-90113
PROVIDER NUMBER BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/31/2007
Last updated
03/15/2012
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