Individual
DR. CHAD LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5214 N WESTERN AVE, STE 102, CHICAGO, IL 60625-2589
(773) 784-1000
(773) 784-1398
Mailing address
5214 N WESTERN AVE, STE 102, CHICAGO, IL 60625-2589
(773) 784-1000
(773) 784-1398
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38007103
IL
Other
Enumeration date
10/04/2006
Last updated
08/17/2010
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