Organization
GREATER CHICAGO CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY T. HAWORTH (BUSINESS ADMINISTRATOR)
(847) 229-0808
Entity
Organization
Contact information
Practice address
71 S MILWAUKEE AVE, WHEELING, IL 60090-3187
(847) 229-0808
(847) 229-1163
Mailing address
71 S MILWAUKEE AVE, WHEELING, IL 60090-3187
(847) 229-0808
(847) 229-1163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623711
BCBS OF IL
IL
Enumeration date
02/07/2007
Last updated
08/22/2020
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