Organization
SUBURBAN CHIROPRACTIC-LANSING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT YODER DC (OWNER/PRESIDENT)
(708) 418-5505
Entity
Organization
Contact information
Practice address
18525 TORRENCE AVE STE F3, LANSING, IL 60438-2891
(708) 418-5505
(708) 418-5531
Mailing address
18525 TORRENCE AVE STE F3, LANSING, IL 60438-2891
(708) 418-5505
(708) 418-5531
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038-007368
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21622585
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
03/03/2008
Last updated
03/03/2008
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