Organization · Type 2 NPI
Lakeshore Community Chiropractic Clinic, P.c.
Chiropractor · Chicago, IL
NPI number
1306930284
Active
Practice location
4921 N. Western Ave
Chicago, IL 60625
Fax (773) 989-6442
Mailing address
5530 N. Winthrop #201
Chicago, IL 60640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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.
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About NPI 1306930284
Lakeshore Community Chiropractic Clinic, P.c.'s National Provider Identifier is 1306930284, issued on Oct 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.