Chicago Sport And Wellness

NPI 1184038366 - Chiropractor - 111N00000X

NPI Details
NPI 1184038366
Enumeration Date 06/16/2014
Last Updated 06/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SUNIL SIMON SUNIL
Position CHIROPRACTOR/ CEO
Phone (773) 852-8423
Fax
Practice Location
1200 OLD SKOKIE VALLEY RD
HIGHLAND PARK IL, 60035-3036, US
Phone (773) 852-8423
Fax
Business Location
5306 N RUTHERFORD AVE
CHICAGO IL, 60656-2131, US
Phone (773) 852-8423
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038012256
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According to our database, Chicago Sport And Wellness NPI is 1184038366, taxonomy code is 111N00000X and license number is 038012256, license state is located at Illinois. Chicago Sport And Wellness physically located at 1200 Old Skokie Valley Rd, Highland Park IL, 60035-3036. NPI Number 1033115704 has the healthcare provider type.

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1184038366 NPI number is provided on an as is basis without warranty of any kind. 1184038366 is maintained by the National Plan & Provider Enumeration System. The contents of Chicago Sport And Wellness are for informational purposes only.