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Organization

LIFETIME HEALTH CHIROPRACTIC, LLC

Active
Other names
Lifetime Health Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARAH ENID NIEVES D.C. (DOCTOR OF CHIROPRACTIC / PHYSICIAN)
(309) 713-1791
Entity
Organization

Contact information

Practice address
7501 N UNIVERSITY ST STE 220, PEORIA, IL 61614-1258
(309) 713-1791
(309) 713-1791
Mailing address
7501 N UNIVERSITY ST STE 220, PEORIA, IL 61614-1258
(309) 713-1791
(309) 713-1791

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012736
IL

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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