Black Chiropractic & Family Wellness Center

LBN: Black Chiropractic Pc
Black Chiropractic & Family Wellness Center is an health care organization with primary practice located at 1609 Sherman Ave 204, Evanston IL 60201-3753. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Black Chiropractic Pc can be contacted via phone (847) 328-2008, or through Black, Constance A via phone (847) 328-2008.

Contact Information

Primary practice address
1609 Sherman Ave 204 Evanston IL 60201-3753
Phone: (847) 328-2008
Fax: (847) 328-8171
Website:
Map and Directions
Authorized official contact:
Name: Black, Constance A Doctor of Chiropractic (DC)
Phone: (847) 328-2008

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038003757 Illinois

Profile Details

NPI number 1689971715
LBN Legal business name Black Chiropractic Pc
DBA Doing business as Black Chiropractic & Family Wellness Center
Authorized official Black, Constance A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2011
Last updated Feb 25th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689971715 NPPES
Illinois Other 01682433 BLUE CROSS BLUE SHIELD IL

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