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Organization

LINCOLN-WAY CHIROPRACTIC CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT KIRBY KOSEK D. C. (PRESIDENT)
(815) 485-8200
Entity
Organization

Contact information

Practice address
195 S. MARLEY RD., NEW LENOX, IL 60451
(815) 485-8200
(815) 485-8996
Mailing address
195 S. MARLEY RD., NEW LENOX, IL 60451
(815) 485-8200
(815) 485-8996

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
248001336
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350056318
RAILROAD MEDICARE
IL
Enumeration date
01/02/2007
Last updated
03/09/2016
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