Organization
DKRF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE FORTMAN DC (CHIROPRACTOR)
(312) 248-3076
Entity
Organization
Contact information
Practice address
308 W ERIE ST STE 100, CHICAGO, IL 60654-3914
(708) 945-8437
Mailing address
1111 W 14TH PL UNIT 109, CHICAGO, IL 60608-2796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
02/27/2024
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