Individual
KRYSTEN TATAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
4045 N DAMEN AVE STE 1, CHICAGO, IL 60618-3277
(773) 296-2766
(773) 296-2768
Mailing address
2511 W MOFFAT ST, APT 102, CHICAGO, IL 60647-4388
(773) 782-7410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011455
IL
111NN0400X
Neurology Chiropractor
038011455
IL
111NN1001X
Nutrition Chiropractor
038011455
IL
111NR0200X
Radiology Chiropractor
038011455
IL
111NR0400X
Rehabilitation Chiropractor
038011455
IL
111NS0005X
Sports Physician Chiropractor
038011455
IL
111NX0100X
Occupational Health Chiropractor
038011455
IL
111NX0800X
Orthopedic Chiropractor
038011455
IL
Other
Enumeration date
07/13/2010
Last updated
07/25/2014
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