| 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 |