NPI | 1003352139 |
---|---|
Doing Business As | SHINE FUNCTIONAL HEALTH |
Entity Type | Organization |
Authorized Contact | ALISON E LECHNER Physician, Owner 224-345-2532 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-111919) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2021-09-22 |