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Organization

LIFELINE CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK LAGERKVIST D.C. (PRESIDENT)
(708) 481-5444
Entity
Organization

Contact information

Practice address
3486 W. VOLLMER, OLYMPIA FIELDS, IL 60461
(708) 481-5444
(708) 585-6226
Mailing address
3486 W. VOLLMER, OLYMPIA FIELDS, IL 60461
(708) 481-5444
(708) 585-6226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008544
IL

Other

Enumeration date
08/10/2006
Last updated
08/13/2008
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