# LIFESTYLE FAMILY CHIROPRACTIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750664215
- **Authorized official:** DR. DWIGHT MATTHEW MCCOY D.C., C.C.S.P (OWNER/ CHIROPRACTOR)
- **Authorized official phone:** (815) 895-3200

## Contact information

- **Practice address:** 1101 DEKALB AVE, SUITE \#1, SYCAMORE, IL 60178-3305
- **Practice address phone:** (815) 895-3200
- **Mailing address:** 1101 DEKALB AVE, SUITE \#1, SYCAMORE, IL 60178-3305
- **Mailing address phone:** (815) 895-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038-007533 | IL | Yes |

## Other

- **Enumeration date:** 09/21/2011
- **Last updated:** 09/21/2011