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Organization
LISLE CHIROPRACTIC CLINIC, LLC
Active
Organization
LISLE CHIROPRACTIC CLINIC, LLC
Active
Other names
HealthSource of Lisle
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND RUGINIS DC (OWNER)
(630) 963-1410
Entity
Organization
Contact information
Practice address
1025 OGDEN AVE, LISLE, IL 60532-4388
(630) 963-1410
(630) 963-1456
Mailing address
1025 OGDEN AVE, LISLE, IL 60532-4388
(630) 963-1410
(630) 963-1456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003888
IL
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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