| Resport Corp | |
|
1221 North Lasalle Drive, Unit 2w, Chicago, IL 60610-1905 | |
| (312) 900-2640 | |
| (312) 588-7242 |
| Full Name | Resport Corp |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1221 North Lasalle Drive, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124557269 | NPI | - | NPPES |
| 038011989 | Other | IL | 1104173731 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | 038011989 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Resport Corp 1221 North Lasalle Drive, Unit 2w, Chicago, IL 60610-1905 Ph: (312) 900-2640 | Resport Corp 1221 North Lasalle Drive, Unit 2w, Chicago, IL 60610-1905 Ph: (312) 900-2640 |
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