Organization
CHICAGO SPORTS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ROSS DC (OWNER)
(262) 676-9370
Entity
Organization
Contact information
Practice address
2128 W BELMONT AVE, CHICAGO, IL 60618-6414
(773) 368-5119
Mailing address
2128 W BELMONT AVE, CHICAGO, IL 60618-6414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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