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1366998874
LAKESIDE SPINE AND WELLNESS INC
CHICAGO, IL
NPI
1366998874
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Entity Type
Organization
Authorized Contact
ANDREW M KIPER
Owner
773-828-9506
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038013006)
Enumeration Date
2016-08-26
Last Update Date
2022-07-21
Business Address
LAKESIDE SPINE AND WELLNESS INC
1828 W WILSON AVE
CHICAGO, IL 60640-5204
Phone number: 773-828-9506
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Mailing Address
LAKESIDE SPINE AND WELLNESS INC
PO BOX 180021
CHICAGO, IL 60618-0509
Phone number: 773-767-3822
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