| Champion Chiropractic PC | |
|
148 S Bloomingdale Rd Ste 107e Bloomingdale IL 60108-1491 | |
| (224) 520-3852 | |
| Not Available |
| Full Name | Champion Chiropractic PC |
|---|---|
| Speciality | Clinic/center |
| Location | 148 S Bloomingdale Rd Ste 107e, Bloomingdale, Illinois |
| Authorized Official Name and Position | Musa Ayyad (PRESIDENT/CEO) |
| Authorized Official Contact | 2245203852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Chiropractic PC 186 Swallow Ave Bloomingdale IL 60108-1369 Ph: (224) 520-3852 | Champion Chiropractic PC 148 S Bloomingdale Rd Ste 107e Bloomingdale IL 60108-1491 Ph: (224) 520-3852 |
| NPI Number | 1407473663 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407473663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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