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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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