Organization
MEDICAL INTEGRATION SC
Active
Organization
MEDICAL INTEGRATION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS MARK LUNA D.C. (CLINIC DIRECTOR/PRESIDENT)
17736193611
Entity
Organization
Contact information
Practice address
4920 N CENTRAL AVE, SUITE 1A, CHICAGO, IL 60630-2338
(773) 427-0820
(773) 427-0825
Mailing address
4920 N CENTRAL AVE, SUITE 1A, CHICAGO, IL 60630-2338
(773) 427-0820
(773) 427-0825
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038-010483
IL
Other
Enumeration date
01/15/2010
Last updated
05/12/2010
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