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Organization

CHINATOWN PHYSICAL MEDICINE & REHAB LTD

Active
Other names
Chinatown Square Ing Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY Y ING D.C. (OWNER)
(312) 842-9831
Entity
Organization

Contact information

Practice address
2134 S ARCHER AVE STE B, CHICAGO, IL 60616-1514
(312) 842-9831
(312) 842-1037
Mailing address
2134 S ARCHER AVE STE B, CHICAGO, IL 60616-1514
(312) 842-9831
(312) 842-1037

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003513
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632866
BCBS
IL
01
647079
ACN
01
7818411
AETNA
Enumeration date
05/10/2007
Last updated
11/21/2008
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