| 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 |