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Organization

ENVISION HEALTH CLINIC

Active
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Organization

ENVISION HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY C FLETCHER DC (OWNER)
(224) 544-5033
Entity
Organization

Contact information

Practice address
840 S WAUKEGAN RD, #201, LAKE FOREST, IL 60045-2608
(224) 544-5033
Mailing address
840 S WAUKEGAN RD, #201, LAKE FOREST, IL 60045-2608

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011833
IL
111N00000X
Chiropractor
Primary
038012962
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011833
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
038012962
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
05/02/2016
Last updated
05/02/2016
About Stedi
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