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Contact Information

LIFESTYLE CHIROPRACTIC PC
1746 E 55TH STREET
CHICAGO, IL60615
 Phone: 773-667-9053
 Fax: 773-667-9084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LIFESTYLE CHIROPRACTIC PC

NPI Number 1114104262
LBN Legal business name LIFESTYLE CHIROPRACTIC PC
Authorized official ROBERT HIGGINBOTTOM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2008
Last updated 01/30/2008 - About 18 years ago
Identifiers
IL Other 20995 MEDICARE GROUP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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