Organization
DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRETTI MONTALVO DC (CHIROPRACTOR MANAGER)
(864) 401-2113
Entity
Organization
Contact information
Practice address
561 W DIVERSEY PKWY STE 221, CHICAGO, IL 60614-1682
(864) 401-2113
Mailing address
3550 N LAKE SHORE DR APT 2220, CHICAGO, IL 60657-7869
(864) 401-2113
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/30/2021
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