Organization
CHICAGO BONE & JOINT CLINIC LLC
Active
Other names
Chicago Bone & Joint Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A VALLANDIGHAM DC (SOLE MEMBER, FOUNDER)
(312) 972-6017
Entity
Organization
Contact information
Practice address
6457 S PULASKI RD, CHICAGO, IL 60629-5148
(312) 972-6017
Mailing address
PO BOX 11040, CHICAGO, IL 60611-0001
(312) 972-6017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952341596
—
IL
Enumeration date
09/27/2019
Last updated
09/27/2019
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