National Provider Identifier Database

LIFESTYLE CHIROPRACTIC PC
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

LIFESTYLE CHIROPRACTIC PC
1746 E 55TH STREET
CHICAGO, IL60615
Phone: 773-667-9053
Fax: 773-667-9084
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for LIFESTYLE CHIROPRACTIC PC

NPI Number 1114104262
Legal business name
LBN
LIFESTYLE CHIROPRACTIC PC
Authorized official ROBERT HIGGINBOTTOM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/30/2008
Last updated 01/30/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Other: 20995 MEDICARE GROUP #

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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