Organization
CHRISTOPHER CHALK, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER SCOTT CHALK DC (PRESIDENT)
(815) 986-4411
Entity
Organization
Contact information
Practice address
1820 WINDSOR RD, STE.A, LOVES PARK, IL 61111-4271
(815) 986-4411
Mailing address
1820 WINDSOR RD, STE.A, LOVES PARK, IL 61111-4271
(815) 986-4411
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
038006422
IL
208D00000X
General Practice Physician
Primary
036097622
IL
261Q00000X
Clinic/Center
038006422
IL
Other
Enumeration date
02/17/2009
Last updated
10/11/2010
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