Diversey Health Center

LBN: Justin Boyce P.C.
Diversey Health Center is an health care organization with primary practice located at 757 W Diversey Pkwy , Chicago IL 60614-6505. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Justin Boyce P.C. can be contacted via phone (773) 472-7484, or through Boyce, Justin Bennett via phone (773) 472-7484.

Contact Information

Primary practice address
757 W Diversey Pkwy Chicago IL 60614-6505
Phone: (773) 472-7484
Fax: (773) 472-6716
Website:
Map and Directions
Authorized official contact:
Name: Boyce, Justin Bennett Doctor of Chiropractic (DC)
Phone: (773) 472-7484

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 038010051 Illinois

Profile Details

NPI number 1184763021
LBN Legal business name Justin Boyce P.C.
DBA Doing business as Diversey Health Center
Authorized official Boyce, Justin Bennett Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 30th, 2010 - 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 1184763021 NPPES
Illinois Other 1616934 BCBS PROVIDER NUMBER

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