Organization
FOUNDATION SPORT & SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN JON PORCHER DC (PRESIDENT/OWNER)
(847) 342-3000
Entity
Organization
Contact information
Practice address
415 W GOLF RD STE 12, ARLINGTON HEIGHTS, IL 60005-3923
(847) 342-3000
(847) 342-3495
Mailing address
415 W GOLF RD STE 12, ARLINGTON HEIGHTS, IL 60005-3923
(847) 342-3000
(847) 342-3495
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038012410
IL
Other
Enumeration date
05/08/2013
Last updated
03/17/2018
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