# IRVING PARK REHABILITATION CENTER SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Irving Park Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194966812
- **Authorized official:** DR. MAX LAZAROWICH D.C. (PRESIDENT)
- **Authorized official phone:** (773) 880-0880

## Contact information

- **Practice address:** 1923 W IRVING PARK RD, CHICAGO, IL 60613-2407
- **Practice address phone:** (773) 880-0880
- **Mailing address:** 1923 W IRVING PARK RD, CHICAGO, IL 60613-2407
- **Mailing address phone:** (773) 880-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038009107 | IL | Yes |

## Other

- **Enumeration date:** 03/09/2009
- **Last updated:** 03/09/2009