Organization
LEGENDARY LIFE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH TORRENS DC (OWNER)
(520) 431-4142
Entity
Organization
Contact information
Practice address
2603 W 22ND ST, SUITE 17, OAK BROOK, IL 60523-1213
(520) 431-4142
Mailing address
2603 W 22ND ST, SUITE 17, OAK BROOK, IL 60523-1213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006888
IL
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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