Organization
AVALON CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A HETTINGER D.C. (PRESIDENT)
(773) 275-7977
Entity
Organization
Contact information
Practice address
1480 W CATALPA AVE, CHICAGO, IL 60640-1212
(773) 275-7977
(773) 275-7978
Mailing address
1480 W CATALPA AVE, CHICAGO, IL 60640-1212
(773) 275-7977
(773) 275-7978
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
038009186
IL
Other
Enumeration date
05/01/2007
Last updated
10/25/2013
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