Organization
BACK TO HEALTH CHIROPRACTIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ROBERTO SCOPP CD (PRESIDENT)
(773) 927-1885
Entity
Organization
Contact information
Practice address
4353 S KEDZIE AVE, CHICAGO, IL 60632-2841
(773) 927-1885
(773) 927-1886
Mailing address
4353 S KEDZIE AVE, CHICAGO, IL 60632-2841
(773) 927-1885
(773) 927-1886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008421
IL
Other
Enumeration date
03/26/2008
Last updated
11/25/2008
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