Organization
OAK PARK SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIAN A LECUONA D.C. (HEAD PHYSICIAN/OWNER)
(708) 406-9459
Entity
Organization
Contact information
Practice address
1144 LAKE ST, 203, OAK PARK, IL 60301-6705
(708) 406-9459
Mailing address
1144 LAKE ST, 203, OAK PARK, IL 60301-6705
(708) 406-9459
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038.012565
IL
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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