Organization
BIOTIDAL TECHNOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG S HORIGAN D.C. (PRESIDENT)
(773) 991-5131
Entity
Organization
Contact information
Practice address
3354 N PAULINA ST, SUITE 206C, CHICAGO, IL 60657-1068
(773) 991-5131
Mailing address
4103 W POTOMAC AVE, CHICAGO, IL 60651-1853
(773) 486-9546
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038-006984
IL
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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