# LIFEWAVE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1780957274
- **Authorized official:** DR. ANDREW B. SERLIN D.C. (PRESIDENT, LIFEWAVE INSTITUTE, LLC)
- **Authorized official phone:** (847) 530-8568

## Contact information

- **Practice address:** 3113 DUNDEE RD, NORTHBROOK, IL 60062-2402
- **Practice address phone:** (224) 723-5693
- **Practice address fax:** (224) 723-5073
- **Mailing address:** 1445 GORDON TER, DEERFIELD, IL 60015-4738
- **Mailing address phone:** (847) 530-8568
- **Mailing address fax:** (847) 677-9927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038010489 | IL | Yes |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 02/15/2012