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Organization
LAUREL HEALTH CENTER, INC.
Active
Organization
LAUREL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI-MEI KU D.C. (PRESIDENT)
(708) 422-1512
Entity
Organization
Contact information
Practice address
3348 W 95TH ST, EVERGREEN PARK, IL 60805-2236
(708) 422-1512
(708) 422-1417
Mailing address
122 HIDDENVIEW DR, WESTMONT, IL 60559-2327
(708) 422-1512
(708) 422-1417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
171100000X
Acupuncturist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630303
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/10/2008
Last updated
04/10/2008
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