Organization
WEST LOOP CHIROPRACTIC & SPORTS INJURY CENTER LTD.
Active
Organization
WEST LOOP CHIROPRACTIC & SPORTS INJURY CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDEN CLENDENIN D.C. (OWNER)
(312) 346-9355
Entity
Organization
Contact information
Practice address
16 N PEORIA ST, SUITE 101A, CHICAGO, IL 60607-2609
(312) 346-9355
(312) 346-9356
Mailing address
16 N PEORIA ST, SUITE 101A, CHICAGO, IL 60607-2609
(312) 346-9355
(312) 346-9356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.008065
IL
111NS0005X
Sports Physician Chiropractor
Primary
038.008065
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093789216
INDIVIDUAL NPI NUMBER
IL
Enumeration date
04/05/2012
Last updated
06/05/2012
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