Organization
CHICAGO FAMILY CHIROPRACTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L DONAHUE III DC, CCSP (DOCTOR/PROVIDER)
(773) 697-0176
Entity
Organization
Contact information
Practice address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 697-0176
(773) 529-0231
Mailing address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 697-0176
(773) 529-0231
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
038.009384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780692988
NPI 1
IL
01
—
703750
MEDICARE
IL
Enumeration date
12/13/2010
Last updated
06/20/2018
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