Organization
HERGESHEIMER CHIROPRACTIC PC
Active
Other names
5TH AVENUE CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL HERGESHEIMER DC (PRESIDENT)
(708) 447-3695
Entity
Organization
Contact information
Practice address
8605 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1225
(708) 447-3695
(708) 447-8733
Mailing address
8605 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1225
(708) 447-3695
(708) 447-8733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006399
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618882
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/24/2007
Last updated
10/05/2022
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