Organization
LOS QUIROPRACTICOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHOAR D.C. (OWNER)
(805) 487-4043
Entity
Organization
Contact information
Practice address
1806 W 18TH ST, CHICAGO, IL 60608-1944
(312) 850-4433
(312) 580-4434
Mailing address
1806 W 18TH ST, CHICAGO, IL 60608-1944
(312) 850-4433
(312) 580-4434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
24189
IL
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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