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Organization
IRVING PARK REHABILITATION CENTER SC
Active
Organization
IRVING PARK REHABILITATION CENTER SC
Active
Other names
Irving Park Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX LAZAROWICH D.C. (PRESIDENT)
(773) 880-0880
Entity
Organization
Contact information
Practice address
1923 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 880-0880
Mailing address
1923 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 880-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009107
IL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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