Lifestyle Chiropractic Group Llc in Roscoe - Chiropractor
Lifestyle Chiropractic Group Llc - NPI 1831358126
Lifestyle Chiropractic Group Llc is a Chiropractor in Roscoe, Illinois. Lifestyle Chiropractic Group Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lifestyle Chiropractic Group Llc is 1831358126. The last update date is 2011-03-21.
Lifestyle Chiropractic Group Llc's current location address is 5290 Williams Dr, Roscoe, Illinois. You can contact this provider via phone number 8156233379 and fax number 8156233380. The mailing address for Lifestyle Chiropractic Group Llc is 5290 Williams Dr, Roscoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestyle Chiropractic Group Llc |
|---|---|
| Address | 5290 Williams Dr, Roscoe, Illinois |
| Phone Number | 8156233379 |
| Fax Number | 8156233380 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DOCT |
|---|---|
| Authorized Official Name | Koppari Jeffrey William |
| Credentials | D.C. |
| Telephone Number | 8156233379 |
NPI Number Detail
| NPI Number | 1831358126 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2011-03-21 |
Provider Mailing Address Detail
| Address | 5290 Williams Dr |
|---|---|
| City | Roscoe |
| State | Illinois (IL) |
| Post Code | 610739222 |
| Phone Number | 8156233379 |
| Fax Number | 8156233380 |
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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What is the unique identification code assigned to Lifestyle Chiropractic Group Llc by the Centers for Medicare & Medicaid Services?
The Lifestyle Chiropractic Group Llc has been issued the NPI (National Provider Identifier) 1831358126. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lifestyle Chiropractic Group Llc's physical address?
The Lifestyle Chiropractic Group Llc is physically located at 5290 Williams Dr, in the city of Roscoe, IL, with the postal code 610739222.
What is Lifestyle Chiropractic Group Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lifestyle Chiropractic Group Llc is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did Lifestyle Chiropractic Group Llc receive its 1831358126 assignment from the Centers for Medicare & Medicaid Services?
The Lifestyle Chiropractic Group Llc was assigned its 1831358126 on 2008-06-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lifestyle Chiropractic Group Llc most recently updated or revised?
The details related to Lifestyle Chiropractic Group Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-21.