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Elm Street Medical Center Ltd
Chiropractor in Mchenry, Illinois
NPI 1164645008

Elm Street Medical Center Ltd is a Chiropractor based in Mchenry, IL. Elm Street Medical Center Ltd practices in Mchenry, IL. The NPI Number for Elm Street Medical Center Ltd is 1164645008 and holds a License No. 038-005010 (Illinois).

The current practice location address for Elm Street Medical Center Ltd is 4921 W Elm St, Mchenry, IL and can be reached out via phone at 815-344-1025 and via fax at 815-344-1208.

Location: 4921 W Elm St, Mchenry, IL, 60050-4020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164645008
Provider Name
Elm Street Medical Center Ltd
Credential
Provider Entity Type
Organization
Address
4921 W Elm St, Mchenry, IL, 60050-4020
Phone Number
815-344-1025
Fax Number
815-344-1208
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038005010 05 IL
05632034 01 IL BLUE CROSS PROVIDER NUMBE
institution
Provider Business Practice Location Address Details
Address
4921 W Elm St
City
Mchenry
State
Illinois
Zip
60050-4020
Phone Number
815-344-1025
Fax Number
815-344-1208
person
Provider Business Mailing Address Details
Address
4921 W Elm St
City
Mchenry
State
Illinois
Zip
60050-4020
Phone Number
815-344-1025
Fax Number
815-344-1208
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-005010 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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