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Organization

LJ MEDICATION, LTD.

Active
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Organization

LJ MEDICATION, LTD.

Active
Parent organization
LA CLINICA, S.C.
Other names
La Clinica
Organization subpart
Yes

Provider details

NPI number
Legal business name
LA CLINICA, S.C.
Authorized official
DR. EUGENE MARIO JAO DC (PRESIDENT)
(773) 278-9525
Entity
Organization

Contact information

Practice address
1101 WASHINGTON ST, WAUKEGAN, IL 60085-5301
(773) 278-9525
Mailing address
PO BOX 4782, CHICAGO, IL 60680-4782

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
261Q00000X
Clinic/Center
Primary
—
NULL

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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