Individual
KELSIE LAZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, ND
Contact information
Practice address
2559 N SOUTHPORT AVE, CHICAGO, IL 60614-2124
(773) 492-8010
(773) 492-8210
Mailing address
2559 N SOUTHPORT AVE, CHICAGO, IL 60614-2124
(773) 492-8010
(773) 492-8210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013290
IL
111NP0017X
Pediatric Chiropractor
038.013290
IL
Other
Enumeration date
12/17/2018
Last updated
01/28/2020
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