Organization
ELEVATED SPORT & PAIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS EDWARD LORENZ D.N. (OWNER)
(630) 272-5271
Entity
Organization
Contact information
Practice address
1635 N ASHLAND AVE APT 2, CHICAGO, IL 60622-1428
(630) 272-5271
Mailing address
1635 N ASHLAND AVE APT 2, CHICAGO, IL 60622-1428
(630) 272-5271
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
181000390
IL
Other
Enumeration date
05/18/2015
Last updated
04/21/2016
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