Individual
DR. CONSTANCE ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1609 SHERMAN AVE, STE 204, EVANSTON, IL 60201-3753
(847) 328-2008
(847) 328-8171
Mailing address
6044 N LANDERS, CHICAGO, IL 60646-5614
(773) 774-8278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01682433
BCBS
IL
Enumeration date
11/24/2006
Last updated
07/08/2007
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