Individual
DR. JAMES ROBER LAURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2400 RAVINE WAY, SUITE 300, GLENVIEW, IL 60025-7652
(847) 724-0777
(847) 724-7860
Mailing address
2400 RAVINE WAY, SUITE 300, GLENVIEW, IL 60025-7652
(847) 724-0777
(847) 724-7860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620117
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/06/2007
Last updated
07/08/2007
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