Organization
BUCKTOWN CHIROPRACTIC HEALTH CENTER S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTELLE CATHERINE NELLA DC (OWNER)
(773) 772-1010
Entity
Organization
Contact information
Practice address
1952 W ARMITAGE AVE, STORE FRONT, CHICAGO, IL 60622-1024
(773) 772-1010
(773) 772-3252
Mailing address
1952 W ARMITAGE AVE, STORE FRONT, CHICAGO, IL 60622-1024
(773) 772-1010
(773) 772-3252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622748
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/27/2007
Last updated
04/06/2011
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