NPI 1104167261 · live from the CMS NPI Registry
5-Star Chiropractic, Ltd.
Chiropractor in Chicago, IL. National Provider Identifier 1104167261, active.
NPI record
| NPI | 1104167261 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 5057 N Harlem Ave, Chicago, IL 60656 |
| Practice phone | 773-631-5555 |
| Enumerated | March 13, 2013 |
| Last updated | March 13, 2013 |
| Authorized official | Pat Fiore, Chiropractor/ President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038-007070 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.