NPI Registry.org

Ebaugh Chiro Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
EBAUGH CHIRO LLC17006349042024-05-11

The organization Ebaugh Chiro Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1700634904. Registration indicates Ebaugh Chiro Llc is a provider of services with a specialization in Chiropractic Providers, Chiropractor (Chiropractor, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Chiropractor, Chiropractic Providers)

Entity TypeOrganization
Provider OrganizationEBAUGH CHIRO LLC
Practice Office Address1001 75TH ST STE 105
WOODRIDGE, IL US
Practice Office Telephone6303957226
Mailing Address1029 CRESTVIEW DR
LEMONT, IL 604394324 US
Business Telephone6303080050
Authorized OfficialSHAWN EBAUGH, CLINIC DIRECTOR
6303080050
HPT Codes
CodePractice
License No
State
111N00000X PRIMARY
Chiropractic Providers
Chiropractor
Chiropractor

Speech/Occupational/Physical Therapy/Chiropractor

Chiropractor
Chiropractic Providers
193400000X SINGGroup Code
OPI Codes
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