Organization
UPPER CERVICAL CENTER, INC.
Active
Other names
Upper Cervical Health Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK EDWARD BENSON D.C. (PRESIDENT)
(847) 923-1078
Entity
Organization
Contact information
Practice address
13 W WISE RD, SCHAUMBURG, IL 60193-4069
(847) 923-1078
(847) 923-1088
Mailing address
13 W WISE RD, SCHAUMBURG, IL 60193-4069
(847) 923-1078
(847) 923-1088
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038.010824
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636853
BLUE CROSS/BLUE SHIELD IL PROVIDER NUMBER
IL
01
—
21468
MEDICARE PROVIDER NUMBER
IL
Enumeration date
08/05/2008
Last updated
08/05/2008
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