Organization
LIFESTYLE FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT MATTHEW MCCOY D.C., C.C.S.P (OWNER/ CHIROPRACTOR)
(815) 895-3200
Entity
Organization
Contact information
Practice address
1101 DEKALB AVE, SUITE #1, SYCAMORE, IL 60178-3305
(815) 895-3200
Mailing address
1101 DEKALB AVE, SUITE #1, SYCAMORE, IL 60178-3305
(815) 895-3200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007533
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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