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Organization
LAKEVIEW PHYSICAL MEDICINE LIMITED
Active
Organization
LAKEVIEW PHYSICAL MEDICINE LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DUBICK D.C. (PRESIDENT)
(773) 755-9516
Entity
Organization
Contact information
Practice address
3250 N LINCOLN AVE, SUITE 1, CHICAGO, IL 60657-1117
(773) 775-9516
(773) 755-9517
Mailing address
3250 N LINCOLN AVE, SUITE 1, CHICAGO, IL 60657-1117
(773) 775-9516
(773) 755-9517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008549
IL
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
05/15/2013
Last updated
08/05/2013
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