Chicago Sport and Wellness

NPI #1184038366 in Highland Park, Illinois

Provider Information

NPI Number: 1184038366
Entity Type: Organization
Organization Name: Chicago Sport and Wellness
Primary Specialty: Chiropractor
Enumeration Date: Jun 16, 2014
Last Updated: Jun 16, 2014

Practice Location

Address: 1200 OLD SKOKIE VALLEY RD
City: Highland Park
State: Illinois
ZIP Code: 60035-3036
Phone: (773) 852-8423

Authorized Official

Name: DR. SUNIL SIMON PULLUKAT, D.C
Title: CHIROPRACTOR/ CEO
Phone: (773) 852-8423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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