Organization
CHIROSOURCE OF PALOS HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICH SHEPPARD DC (PRESIDENT)
(708) 371-6114
Entity
Organization
Contact information
Practice address
12717 S RIDGELAND AVE, PALOS HEIGHTS, IL 60463-2242
(708) 371-6114
(708) 371-0816
Mailing address
12717 S RIDGELAND AVE, PALOS HEIGHTS, IL 60463-2242
(708) 371-6114
(708) 371-0816
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008221
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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