DGT CHIROPRACTIC SERVICES


Address: 213 N Stetson Ave, Chicago, IL 60601-7803
Phone: 3125523000

DGT CHIROPRACTIC SERVICES (NPI# 1871825604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871825604
Entity Type Organization
Organization Name DGT CHIROPRACTIC SERVICES
Practice Address 213 N Stetson Ave
Chicago
IL 60601-7803
Practice Telephone 3125523000
Practice Fax Number 3125523001
Mailing Telephone 3125523000
Mailing Fax Number 3125523001
Enumeration Date 2010-02-03
Last Update Date 2010-02-03
Authorized Official Name DUSTIN G TAVENNER (CHIROPRACTIC PHYSICIAN)
Authorized Official Telephone 4065311244
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
038011196 IL Ambulatory Health Care Facilities

Office Location

Street Address 213 N STETSON AVE
City CHICAGO
State IL
Zip Code 60601-7803

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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