Organization
LIFEWAVE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW B. SERLIN D.C. (PRESIDENT, LIFEWAVE INSTITUTE, LLC)
(847) 530-8568
Entity
Organization
Contact information
Practice address
3113 DUNDEE RD, NORTHBROOK, IL 60062-2402
(224) 723-5693
(224) 723-5073
Mailing address
1445 GORDON TER, DEERFIELD, IL 60015-4738
(847) 530-8568
(847) 677-9927
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038010489
IL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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