Organization · Type 2 NPI
Lakeside Spine and Wellness Inc
Chiropractor · Chicago, IL
NPI number
1366998874
Active
Practice location
1828 W Wilson Ave
Chicago, IL 60640-5204
Fax (773) 439-5168
Mailing address
PO Box 180021
Chicago, IL 60618-0509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038013006 (IL) |
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.
2 other providers at this address
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About NPI 1366998874
Lakeside Spine and Wellness Inc's National Provider Identifier is 1366998874, issued on Aug 26, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.