Organization
LINCOLN CHIROPRACTIC OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATULY KANTAROVICH DC (OWNER)
(847) 674-2171
Entity
Organization
Contact information
Practice address
6600 N LINCOLN AV, S 215, LINCOLNWOOD, IL 60712
(847) 674-2171
Mailing address
6600 N LINCOLN AV, S 215, LINCOLNWOOD, IL 60712
(847) 674-2171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038005882
—
IL
01
—
1682706
BCBS
IL
01
—
T38758
MCARE UPIN
—
Enumeration date
04/06/2007
Last updated
06/30/2008
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