ROUND LAKE BEACH CHIROPRACTIC S.C. NPI 1295859569

NPI Information

ROUND LAKE BEACH CHIROPRACTIC, S.C. is a chiropractor in Lake Villa, IL. The provider is 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. ROUND LAKE BEACH CHIROPRACTIC, S.C. NPI is 1295859569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36735 N IL ROUTE 83
LAKE VILLA, IL
ZIP 60046-619
Phone: (847) 265-5600
Fax: (847) 245-4491

The provider's authorized official is Holly Lynne Allen .
The authorized official title is Administrator and has the following contact phone number (847) 265-5600.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 1/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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