Organization
LISLE CHIROPRACTIC CLINIC, LLC
Active
Other names
HealthSource of Lisle
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND RUGINIS DC (OWNER)
(630) 963-1410
Entity
Organization
Contact information
Practice address
1025 OGDEN AVE, LISLE, IL 60532-4388
(630) 963-1410
(630) 963-1456
Mailing address
1025 OGDEN AVE, LISLE, IL 60532-4388
(630) 963-1410
(630) 963-1456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003888
IL
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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