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Organization
ROUND LAKE BEACH CHIROPRACTIC, S.C.
Active
Organization
ROUND LAKE BEACH CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY LYNNE ALLEN (ADMINISTRATOR)
(847) 265-5600
Entity
Organization
Contact information
Practice address
36735 N IL ROUTE 83, LAKE VILLA, IL 60046-9619
(847) 265-5600
(847) 245-4491
Mailing address
36735 N IL ROUTE 83, LAKE VILLA, IL 60046-9619
(847) 265-5600
(847) 245-4491
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006409
IL
Other
Enumeration date
03/19/2007
Last updated
01/23/2014
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