Organization
IRVING PARK REHABILITATION CENTER SC
Active
Other names
Irving Park Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX LAZAROWICH D.C. (PRESIDENT)
(773) 880-0880
Entity
Organization
Contact information
Practice address
1923 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 880-0880
Mailing address
1923 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 880-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009107
IL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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