Organization
LAKEVIEW FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN SLOAN D.C. (OWNER)
(773) 549-6400
Entity
Organization
Contact information
Practice address
3178 N BROADWAY ST, CHICAGO, IL 60657-4509
(773) 549-6400
(773) 549-6401
Mailing address
3178 N BROADWAY ST, CHICAGO, IL 60657-4509
(773) 549-6400
(773) 549-6401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008006
IL
261QH0100X
Health Service Clinic/Center
2682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890938A
—
NC
Enumeration date
11/06/2006
Last updated
09/02/2010
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