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Dr. Sitsadaphone Phetchamphone, DC
Chiropractor in Chicago, Illinois
NPI 1780739284

Sitsadaphone Phetchamphone is a Chiropractor based in Chicago, IL. Sitsadaphone Phetchamphone practices in Chicago, IL and has the professional credentials of DC. The NPI Number for Sitsadaphone Phetchamphone is 1780739284 and holds a License No. 038010281 (Illinois).

The current practice location address for Sitsadaphone Phetchamphone is 1157 W 18Th St, Chicago, IL and can be reached out via phone at 312-344-1632.

Location: 1157 W 18Th St, Chicago, IL, 60608-2387
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Provider Profile Details
NPI Number
1780739284
Provider Name
Sitsadaphone Phetchamphone
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1157 W 18Th St, Chicago, IL, 60608-2387
Phone Number
312-344-1632
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2232625 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1157 W 18Th St
City
State
Zip
60608
Phone Number
312-344-1632
Fax Number
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Provider Business Mailing Address Details
Address
1157 W 18Th St
City
State
Zip
60608
Phone Number
312-344-1632
Fax Number
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Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038010281 (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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