NPI 1962611772 · live from the CMS NPI Registry
Advanced Spinal Clinic P.C.
Chiropractor in Chicago, IL. National Provider Identifier 1962611772, active.
NPI record
| NPI | 1962611772 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 5356 W Addison St, Chicago, IL 60641 |
| Practice phone | 773-283-4700 |
| Enumerated | May 21, 2007 |
| Last updated | June 11, 2008 |
| Authorized official | Patricia Wasco, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038-009263 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.