# LJ MEDICATION, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LA CLINICA, S.C.
- **Other names:** La Clinica
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164063269
- **Legal business name:** LA CLINICA, S.C.
- **Authorized official:** DR. EUGENE MARIO JAO DC (PRESIDENT)
- **Authorized official phone:** (773) 278-9525

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2019
- **Last updated:** 10/01/2019