Organization
PAMELA L TICKEL DC INC.
Active
Other names
TICKEL CHIROPRACTIC INC, Dr. Pamela Tickel Chiropractor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA LOUISE TICKEL DC (OWNER / PROVIDER)
(513) 965-1851
Entity
Organization
Contact information
Practice address
400 N WELLS ST STE 340, CHICAGO, IL 60654-2761
(513) 965-1851
Mailing address
400 N WELLS ST STE 340, CHICAGO, IL 60654-2761
(513) 965-1851
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261Q00000X
Clinic/Center
Primary
038.003947
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902903255
NPI
IL
Enumeration date
01/09/2018
Last updated
06/16/2018
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