Organization
AVANZADO QUIROPRACTICO SC
Active
Other names
Cawley Chiropractic Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT CAWLEY DC (PRESIDENT)
(773) 426-2264
Entity
Organization
Contact information
Practice address
646 W WELLINGTON AVE, SUITE # 2E, CHICAGO, IL 60657-9329
(773) 426-2264
Mailing address
646 W WELLINGTON AVE, SUITE # 2E, CHICAGO, IL 60657-9329
(773) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038009827
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635106
BLUE CROSS AND BLUE SHIELD
IL
Enumeration date
04/11/2007
Last updated
04/29/2011
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