NPI | 1740498773 |
---|---|
Doing Business As | LAKESIDE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KRISTEN LYNN BALL Owner 847-587-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010142) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |