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Individual

LORI RENEE' FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
588 WILLIAM R LATHAM SR DR, SUIT 5, BOURBONNAIS, IL 60914-2326
(815) 932-7800
(815) 932-7806
Mailing address
588 WILLIAM R LATHAM SR DR, SUIT 5, BOURBONNAIS, IL 60914-2326
(815) 932-7800
(815) 932-7806

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04632068
BC/BC OF ILLINOIS
IL
Enumeration date
11/01/2006
Last updated
10/31/2007
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