Individual
DR. LOLITA A WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12647 S JUSTINE, CALUMET PARK, IL 60827
(708) 489-2225
(708) 489-2610
Mailing address
12647 S JUSTINE, CALUMET PARK, IL 60827
(708) 489-2225
(708) 489-2610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622136
BCBS
—
Enumeration date
08/24/2006
Last updated
07/08/2007
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