Dr. Alden Clendenin
Chiropractic Sports Physician
16 N Peoria St
Chicago
, Illinois 60607-2609
Dr. Alden Clendenin
Chiropractic Sports Physician
16 N Peoria St
Chicago
, Illinois 60607-2609
(312) 346-9355
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Alden Clendenin
- 16 N Peoria St
- Chicago, IL
- Zip : 60607-2609
- Phone : (312) 346-9355
Second Address
- Dr. Alden Clendenin
- 16 N Peoria St
- Chicago, IL
- Zip : 60607-2609
- Phone : (312) 346-9355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 038-008065 | IL |
National Provider Identifier
| NPI | 1093789216 |
|---|---|
| Provider Name | Dr. Alden Clendenin |
| First Address | Chicago, IL 60607-2609 |
| Second Address | Chicago, IL 60607-2609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 01/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U75196 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.