Organization
PHYSICIANS PLUS BERWYN LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT SPENCER D.C. (CHIROPRACTIC PHYSICIAN)
(312) 265-6908
Entity
Organization
Contact information
Practice address
205 W RANDOLPH ST, 1205, CHICAGO, IL 60606-1867
(312) 265-6908
(312) 264-0347
Mailing address
205 W RANDOLPH ST, 1205, CHICAGO, IL 60606-1867
(312) 265-6908
(312) 264-0347
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038009369
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01629928
BCBS
IL
05
—
038009369
—
IL
Enumeration date
01/03/2008
Last updated
06/27/2013
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