NPI 1538633441 · live from the CMS NPI Registry
87th Street Rehab Clinic LLC
Chiropractor in Chicago, IL. National Provider Identifier 1538633441, active.
NPI record
| NPI | 1538633441 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1111 E 87th St Ste 900b, Chicago, IL 60619 |
| Practice phone | 708-452-6842 |
| Enumerated | January 14, 2019 |
| Last updated | January 14, 2019 |
| Authorized official | Manish Pandya, Owner/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.