Lj Medication, Ltd.
Clinic/Center in Waukegan, IL. Organization (NPI-2).
NPI number1164063269
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1164063269
- Entity type
- Organization (NPI-2)
- Legal business name
- Lj Medication, Ltd.
- Organization subpart
- Yes
- Enumeration date
- Oct 1, 2019
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | – | – |
Other names
- La Clinica (Doing Business As)
Practice location
1101 Washington StWaukegan, IL 60085-5301
Phone 773-278-9525
Mailing address
Po Box 4782Chicago, IL 60680-4782
Authorized official
Eugene Mario Jao
President
7732789525
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All 6 Clinic/Center providers in Waukegan · All 1,691 providers in Waukegan
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