Organization
AVANZADO QUIROPRACTICO SC
Active
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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