Organization
PROMED CHIROPRACTIC INSTITUTE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PAPADOPOULOS D.C., LAT, RKT (PRESIDENT)
(630) 226-5754
Entity
Organization
Contact information
Practice address
454 W BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440-1378
(630) 226-9908
Mailing address
454 W BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440-1378
(630) 226-9908
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932151
BCBS
IL
Enumeration date
04/03/2007
Last updated
08/22/2020
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