Organization
JSK MEDICAL ASSOCIATES, P.C.
Active
Other names
Sandman Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
TAPAN JOSHI DC (PRESIDENT)
(630) 388-8026
Entity
Organization
Contact information
Practice address
107 W LAKE ST, SUITE 103, BLOOMINGDALE, IL 60108-1027
(630) 351-0222
(773) 767-3944
Mailing address
107 W LAKE ST, SUITE 103, BLOOMINGDALE, IL 60108-1027
(630) 351-0222
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233015
BCBS PROVIDER #
IL
Enumeration date
09/23/2006
Last updated
06/10/2010
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