Organization
PATRICK CHIROPRACTIC SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN PAUL PATRICK D.C. (OWNER)
(847) 888-3131
Entity
Organization
Contact information
Practice address
750 FLETCHER DR, #304, ELGIN, IL 60123-4756
(847) 888-3131
(847) 888-3459
Mailing address
750 FLETCHER DR, #304, ELGIN, IL 60123-4703
(847) 888-3131
(847) 888-3359
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
38003465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617755
BLUE CROSS
IL
Enumeration date
07/21/2006
Last updated
07/02/2012
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