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Organization

LAKESHORE INTEGRATIVE HEALTHCARE, LTD

Active
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Organization

LAKESHORE INTEGRATIVE HEALTHCARE, LTD

Active
Other names
Daniel E Varanauski, DN PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL E VARANAUSKI D.N. (DIRECTOR)
(773) 972-6566
Entity
Organization

Contact information

Practice address
2202 N LINCOLN AVE, STE #1, CHICAGO, IL 60614-7170
(312) 698-9855
(312) 698-9857
Mailing address
2731 N SEMINARY AVE, STE #1, CHICAGO, IL 60614-1322
(773) 972-6566

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
181-000304
IL
172P00000X
Naprapath
181-000304
IL
225100000X
Physical Therapist
Primary
070010058
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633587
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/05/2007
Last updated
11/24/2008
About Stedi
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