Organization
COMMUNITY OUTREACH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M. ROSENTHAL D.C. (PRESIDENT)
(773) 776-3166
Entity
Organization
Contact information
Practice address
2655 W 63RD ST, CHICAGO, IL 60629-1641
(773) 776-3166
(773) 776-3169
Mailing address
2655 W 63RD ST, CHICAGO, IL 60629-1641
(773) 776-3166
(773) 776-3169
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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