Organization
GREAT LAKES IMAGING CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SEPPALA DC, DACBR (PRESIDENT)
(630) 423-6058
Entity
Organization
Contact information
Practice address
1297 KILBERY LN, NORTH AURORA, IL 60542-4604
(630) 423-6058
Mailing address
1297 KILBERY LN, NORTH AURORA, IL 60542-4604
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
038012287
IL
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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