Organization
GREENWOOD MEDICAL CORP SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOELLEN MAJKA (OFFICE MANAGER)
(773) 239-7777
Entity
Organization
Contact information
Practice address
11001 S. KEDZIE AVENUE, CHICAGO, IL 60655
(773) 239-7777
(773) 239-5787
Mailing address
11001 S. KEDZIE AVENUE, CHICAGO, IL 60655
(773) 239-7777
(773) 239-5787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623172
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/08/2007
Last updated
02/01/2011
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