Organization
EVOLUTION SPINE & SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS AHRENS D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
(224) 307-2201
Entity
Organization
Contact information
Practice address
922 NOYES ST, EVANSTON, IL 60201-2706
(224) 307-2201
(224) 304-0881
Mailing address
922 NOYES ST, EVANSTON, IL 60201-2706
(224) 307-2201
(224) 304-0881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38.012838
IL
Other
Enumeration date
02/09/2016
Last updated
10/11/2016
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