Organization
L. HUMBERSTONE D.C., SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE HUMBERSTONE (PRESIDENT)
(630) 529-2225
Entity
Organization
Contact information
Practice address
303 E ARMY TRAIL ROAD, 101, BLOOMINGDALE, IL 60108-2155
(630) 529-2225
(630) 529-0137
Mailing address
303 E ARMY TRAIL ROAD, 101, BLOOMINGDALE, IL 60108-2155
(630) 529-2225
(630) 529-0137
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005562
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002234425
BCBS
IL
05
—
038-005562
—
IL
Enumeration date
12/30/2009
Last updated
05/18/2010
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