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Organization
BRIGHTLIFE REGENERATIVE MEDICAL CLINIC SC
Active
Organization
BRIGHTLIFE REGENERATIVE MEDICAL CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN C BURLISON CHIROPRACTOR (D.C.) (PRESIDENT)
(847) 680-9500
Entity
Organization
Contact information
Practice address
1580 S MILWAUKEE AVE STE 102, LIBERTYVILLE, IL 60048-3770
(847) 680-9500
Mailing address
1580 S MILWAUKEE AVE STE 102, LIBERTYVILLE, IL 60048-3770
(847) 680-9500
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2018
Last updated
11/27/2019
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