Organization
CHAMPION CHIROPRACTIC AND SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYLES NAGEL (CHIROPRACTOR)
(847) 409-5491
Entity
Organization
Contact information
Practice address
500 SKOKIE BLVD, NORTHBROOK, IL 60062-2856
(847) 409-5491
Mailing address
1525 LAKE COOK RD APT 258, DEERFIELD, IL 60015-5298
(847) 409-5491
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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