Organization
HEALTHCARE ASSOCIATES
Active
Other names
Lakeside Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN LYNN BALL D.C. (OWNER)
(847) 587-0003
Entity
Organization
Contact information
Practice address
2 W GRAND AVE, SUITE 109, FOX LAKE, IL 60020-1262
(847) 587-0003
(847) 587-0210
Mailing address
2 W GRAND AVE, SUITE 109, FOX LAKE, IL 60020-1262
(847) 587-0003
(847) 587-0210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS BLUE SHIE
04932520
IL
Enumeration date
05/21/2007
Last updated
08/22/2020
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