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Black Chiropractic Pc
Chiropractor in Evanston, Illinois
NPI 1689971715

Black Chiropractic Pc is a Chiropractor based in Evanston, IL. Black Chiropractic Pc practices in Evanston, IL. The NPI Number for Black Chiropractic Pc is 1689971715 and holds a License No. 038003757 (Illinois).

The current practice location address for Black Chiropractic Pc is 1609 Sherman Ave, Evanston, IL and can be reached out via phone at 847-328-2008 and via fax at 847-328-8171.

Location: 1609 Sherman Ave, Evanston, IL, 60201-3753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689971715
Provider Name
Black Chiropractic Pc
Credential
Provider Entity Type
Organization
Address
1609 Sherman Ave, Evanston, IL, 60201-3753
Phone Number
847-328-2008
Fax Number
847-328-8171
Provider Enumeration Date
02/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01682433 01 IL BLUE CROSS BLUE SHIELD IL
institution
Provider Business Practice Location Address Details
Address
1609 Sherman Ave
City
Evanston
State
Illinois
Zip
60201-3753
Phone Number
847-328-2008
Fax Number
847-328-8171
person
Provider Business Mailing Address Details
Address
1609 Sherman Ave
City
Evanston
State
Illinois
Zip
60201-3753
Phone Number
847-328-2008
Fax Number
847-328-8171
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038003757 (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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