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1659745024
MIDWEST SPORT AND SPINE INC
CHICAGO, IL
NPI
1659745024
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Entity Type
Organization
Authorized Contact
PHOUKHONG LAMVICHIT
Owner
312-397-1179
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038012476)
Enumeration Date
2015-11-21
Last Update Date
2020-02-07
Business Address
MIDWEST SPORT AND SPINE INC
730 N FRANKLIN ST SUITE 602
CHICAGO, IL 60654-3563
Phone number: 312-397-1179
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Mailing Address
MIDWEST SPORT AND SPINE INC
730 N FRANKLIN ST SUITE 602
CHICAGO, IL 60654-3563
Phone number: 312-397-1179
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