Organization
M & R RUDRA INCORPORATED
Active
Other names
New Life Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH D PANDYA DC (PRESIDENT)
(630) 965-2225
Entity
Organization
Contact information
Practice address
4111 W 26TH ST, STE 110, CHICAGO, IL 60623-4313
(773) 542-1111
(773) 542-7100
Mailing address
4111 W 26TH ST, STE 110, CHICAGO, IL 60623-4313
(773) 542-1111
(773) 542-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009513
IL
Other
Enumeration date
12/11/2007
Last updated
06/13/2008
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