National Provider Identifier Database

LIFETIME HEALTH WELLNESS CENTER SC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

LIFETIME HEALTH & WELLNESS CENTER SC
101 S MCLEAN BLVD STE A
SOUTH ELGIN, IL60177
Phone: 847-717-3400
Fax: 847-255-7945
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Family 363LF0000X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for LIFETIME HEALTH & WELLNESS CENTER SC

NPI Number 1104040179
Legal business name
LBN
LIFETIME HEALTH & WELLNESS CENTER SC
Authorized official TIMOTHY SCHENING - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/12/2007
Last updated 06/19/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 10641623 CAQH
  • IL Other: 04532114 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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