NPI | 1235376195 |
---|---|
Doing Business As | LAKESIDE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | TINA MARIE TEWS Owner/President 847-587-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010711) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2012-05-16 |