Organization
COUNTRYVIEW MEDICAL CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WINTERNHEIMER DC (OWNER)
(708) 482-9700
Entity
Organization
Contact information
Practice address
6555 S WILLOW SPRINGS RD, COUNTRYSIDE, IL 60525
(708) 482-9700
(708) 482-0217
Mailing address
PO BOX 700, WHEATON, IL 60189-0700
(708) 482-9700
(708) 482-0217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623046
BCBS PROVIDER #
IL
Enumeration date
03/28/2006
Last updated
07/17/2007
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