Lakefront Chiropractic Center P.C. in Glencoe - Chiropractor
Lakefront Chiropractic Center P.C. - NPI 1932398492
Lakefront Chiropractic Center P.C. is a Chiropractor in Glencoe, Illinois. Lakefront Chiropractic Center P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lakefront Chiropractic Center P.C. is 1932398492. The last update date is 2008-04-16.
Lakefront Chiropractic Center P.C.'s current location address is 630 Vernon Ave, Glencoe, Illinois. You can contact this provider via phone number 8478354700. The mailing address for Lakefront Chiropractic Center P.C. is 630 Vernon Ave, Glencoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakefront Chiropractic Center P.C. |
|---|---|
| Address | 630 Vernon Ave, Glencoe, Illinois |
| Phone Number | 8478354700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bruhl W Warren |
| Telephone Number | 8478354700 |
NPI Number Detail
| NPI Number | 1932398492 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 630 Vernon Ave |
|---|---|
| City | Glencoe |
| State | Illinois (IL) |
| Post Code | 600221681 |
| Phone Number | 8478354700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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Definition: 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1618865 | IL | BCBS |
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What is the unique identifier code issued to Lakefront Chiropractic Center P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Lakefront Chiropractic Center P.C. has been assigned the NPI (National Provider Identifier) 1932398492. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lakefront Chiropractic Center P.C. located?
The Lakefront Chiropractic Center P.C. is located at 630 Vernon Ave, Glencoe, IL 600221681.
What is the area of specialization for Lakefront Chiropractic Center P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lakefront Chiropractic Center P.C. is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932398492 to Lakefront Chiropractic Center P.C.?
The Lakefront Chiropractic Center P.C. received its 1932398492 assignment from the Centers for Medicare & Medicaid Services on 2007-10-22.
When was the Lakefront Chiropractic Center P.C.'s information last updated?
The Lakefront Chiropractic Center P.C.'s information was last updated on 2008-04-16.