Dr. Sitsadaphone Phetchamphone is a Chicago, Illinois based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Sitsadaphone Phetchamphone as General Chiropractor is 038-010281 in Illinois. Dr. Sitsadaphone Phetchamphone is qualified as 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.
Complete Profile:
Dr. Sitsadaphone Phetchamphone speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
1157 W 18th St, Chicago, Illinois, 60608
Phone:
312-344-1632
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780739284
NPI Enumeration Date:
24 Jan, 2007
NPI Last Update On:
08 Feb, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sitsadaphone Phetchamphone are as mentioned below.
License Number
Specialization
State
Status
038-010281
Chiropractor
Illinois
Primary
038010281
General Chiropractor
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Sitsadaphone Phetchamphone such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2232625
Other
Illinois
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1157 W 18th St, Chicago, Illinois
Zip:
60608-2387
Phone Number:
312-344-1632
Fax Number:
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Patients can reach Dr. Sitsadaphone Phetchamphone at 1157 W 18th St, Chicago, Illinois or can call to book an appointment on 312-344-1632. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 June, 2024.