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Organization
LIFECLINIC CHIROPRACTIC OF ILLINOIS LLC
Active
Organization
LIFECLINIC CHIROPRACTIC OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA P ALIZADEH DC (OWNER)
(651) 690-0866
Entity
Organization
Contact information
Practice address
2000 OAKBROOK CTR, OAK BROOK, IL 60523-9002
(630) 203-5458
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
(952) 229-7558
(952) 474-1504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.12283
IL
Other
Enumeration date
11/12/2012
Last updated
07/24/2021
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