# LAGRANGE INSTITUTE OF HEALTH LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295089712
- **Authorized official:** DR. GINA MARIE SIRCHIO DC (OWNER/PROVIDER)
- **Authorized official phone:** (312) 255-8810

## Contact information

- **Practice address:** 430 W ERIE ST, SUITE 403, CHICAGO, IL 60654-6914
- **Practice address phone:** (312) 255-8810
- **Practice address fax:** (312) 846-6817
- **Mailing address:** 430 W ERIE ST, SUITE 403, CHICAGO, IL 60654-6914
- **Mailing address phone:** (312) 255-8810
- **Mailing address fax:** (312) 846-6817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 038010610 | IL | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 06/02/2015