Individual
DR. DAVID E LYSENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1224 BIRCH RD, HOMEWOOD, IL 60430-3447
(708) 351-2651
Mailing address
PO BOX 971, HOMEWOOD, IL 60430-0971
(708) 351-2651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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