NPI 1639122658 DR. IRENE D WALLACE D.C. BUFFALO GROVE IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Irene D Wallace - NPI: 1639122658

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. IRENE D WALLACE
NPI Number: 1639122658
Entity Type Code: Individual (1)
Gender: F
Credentials: D.C.
License Number:
Business Practice Address: 1411 Mchenry Rd
Suite 225 Buffalo Grove, IL - 600891301
Business Phone Number: 8472762785
Business Fax Number:
Mailing Address: 1411 Mchenry Rd, Suite 225
BUFFALO GROVE
State: IL
Postal Code: 600891301
Phone Number: 8472762785
Fax Number:
NPI Enumeration Date: 05/19/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Chiropractic Providers
Taxonomy Classification: Chiropractor
Taxonomy Specialization:
Taxonomy Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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