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NPI 1184966244 · live from the CMS NPI Registry

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Chiropractor in Homewood, IL. National Provider Identifier 1184966244, active.

NPI record

NPI1184966244 Type 2 · organization
StatusActive
Primary specialtyChiropractor 111N00000X
Practice location18300 Dixie Hwy Ste 2w, Homewood, IL 60430
Practice phone708-922-1883
EnumeratedMarch 26, 2013
Last updatedJune 25, 2026
Authorized officialMatthew Thacker, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor primary111N00000X038011476 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.