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Organization
FULL LIFE CENTERS, LLC
Active
Organization
FULL LIFE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH E SIEGLER M.D. (OWNER)
(773) 529-1200
Entity
Organization
Contact information
Practice address
2750 N RACINE AVE, SUITE #1, CHICAGO, IL 60614-1206
(773) 529-1200
(773) 296-6131
Mailing address
2750 N RACINE AVE, SUITE #1, CHICAGO, IL 60614-1206
(773) 529-1200
(773) 296-6131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
336046711
IL
Other
Enumeration date
09/23/2006
Last updated
04/30/2014
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