Organization
CHI-TOWN SPINE AND SPORT PLLC
Active
Organization
CHI-TOWN SPINE AND SPORT PLLC
Active
Other names
Lincoln Square Chiropractic and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS RAMIREZ DC (OWNER)
(773) 209-9394
Entity
Organization
Contact information
Practice address
4610 N WESTERN AVE, CHICAGO, IL 60625-2184
(773) 275-5031
Mailing address
4610 N WESTERN AVE, CHICAGO, IL 60625-2184
(773) 275-5031
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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