Organization
DR RICHARD MONCEBAIZ DCPC
Active
Other names
Moncebaiz Chiropractic Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MONCEBAIZ D.C. (PRESIDENT)
(708) 863-1001
Entity
Organization
Contact information
Practice address
5623 W CERMAK RD, CICERO, IL 60804-2220
(708) 863-1001
(708) 863-2641
Mailing address
5623 W CERMAK RD, CICERO, IL 60804-2220
(708) 863-1001
(708) 863-2641
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
060004777
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01682747-34
BCBS
IL
Enumeration date
04/23/2007
Last updated
12/18/2009
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