Organization
LIFETIME HEALTH & WELLNESS CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY NEIL SCHENING DC (OWNER)
(847) 717-3400
Entity
Organization
Contact information
Practice address
101 S MCLEAN BLVD STE A, SOUTH ELGIN, IL 60177
(847) 717-3400
(847) 255-7945
Mailing address
101 S MCLEAN BLVD STE A, SOUTH ELGIN, IL 60177-1830
(847) 717-3400
(847) 255-7945
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532114
BLUE CROSS BLUE SHIELD
IL
01
—
10641623
CAQH
—
Enumeration date
04/12/2007
Last updated
06/19/2023
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