Organization
CENTER FOR CHIROPRACTIC AND NATURAL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OBRIEN D.C. (OWNER)
(630) 842-1466
Entity
Organization
Contact information
Practice address
1141 E MAIN ST, SUITE 213, EAST DUNDEE, IL 60118-2440
(630) 842-1466
(888) 398-1383
Mailing address
180 S WESTERN AVE, SUITE 213, CARPENTERSVILLE, IL 60110-1738
(630) 842-1466
(888) 398-1383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206237
MEDICARE ID-TYPE UNSPECIFIED
IL
Enumeration date
08/07/2013
Last updated
08/07/2013
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