Organization
LAKESHORE COMMUNITY CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TRUONG D.C. (PRESIDENT)
(773) 728-6031
Entity
Organization
Contact information
Practice address
4921 N. WESTERN AVE, CHICAGO, IL 60625
(773) 875-4528
(773) 989-6442
Mailing address
5530 N. WINTHROP #201, CHICAGO, IL 60640
(773) 875-4528
(773) 989-6442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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