Organization
EDGEWATER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GEORGE SHINAULT DC (OWNER AND CLINICIAN)
(708) 320-8801
Entity
Organization
Contact information
Practice address
6033 N SHERIDAN RD # CWO7S, CHICAGO, IL 60660-3003
(708) 320-8801
Mailing address
6033 N SHERIDAN RD # CWO7S, CHICAGO, IL 60660-3003
(708) 320-8801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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