Organization
LIFETIME HEALTH & WELLNESS CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY NEIL SCHENING (OWNER)
(847) 717-3400
Entity
Organization
Contact information
Practice address
101 S MCLEAN BLVD STE A, SOUTH ELGIN, IL 60177-1830
(847) 717-3400
(847) 255-7945
Mailing address
101 S MCLEAN BLVD STE A, SOUTH ELGIN, IL 60177-1830
(847) 717-3400
(847) 255-7945
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007411
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL6414
MEDICARE PTAN
IL
Enumeration date
07/14/2015
Last updated
10/22/2019
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