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Organization
TLC CHIROPRACTIC, SC
Active
Organization
TLC CHIROPRACTIC, SC
Active
Other names
TLC Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PISHOTTA DC (PRESIDENT/CHIROPRACTOR)
(224) 678-7334
Entity
Organization
Contact information
Practice address
14 MILLER RD, LAKE IN THE HILLS, IL 60156-1008
(224) 678-7334
(224) 678-7307
Mailing address
14 MILLER RD, LAKE IN THE HILLS, IL 60156-1008
(224) 678-7334
(224) 678-7307
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038013152
LICENSED CHIROPRACTIC PHYSICIAN
IL
01
—
042620798
REGISTERED MEDICAL CORPORATION
IL
Enumeration date
03/11/2020
Last updated
03/11/2020
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