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MOSSELL HOLISTIC HEALTH CARE LLC NPI 1417267709


NPI Information

NPI: 1417267709
Provider Name: MOSSELL HOLISTIC HEALTH CARE LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1420 N NORTHWEST HWY
SUITE 411
PARK RIDGE, IL
ZIP 60068
Phone: (847) 296-0505
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MOSSELL HOLISTIC HEALTH CARE LLC is a chiropractor in Park Ridge, IL. The provider is 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. MOSSELL HOLISTIC HEALTH CARE LLC NPI is 1417267709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1420 N NORTHWEST HWY
SUITE 411
PARK RIDGE, IL
ZIP 60068-310
Phone: (847) 296-0505
Fax: (847) 768-9630

The provider's authorized official is Daniel Keith Mossell .
The authorized official title is President and has the following contact phone number (773) 412-4083.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 6/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038006924ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11184737199MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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