Organization
CHICAGO PREMIUM CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER AYZENSHTEYN D.C. (OWNER)
(847) 254-4970
Entity
Organization
Contact information
Practice address
3000 DUNDEE RD, 308, NORTHBROOK, IL 60062-2422
(847) 272-7727
(847) 272-7673
Mailing address
791 DUNHILL DR, BUFFALO GROVE, IL 60089-1514
(847) 229-0513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011825
IL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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