Lagrange Institute Of Health Ltd
Chiropractor, Nutrition in Chicago, IL. Organization (NPI-2).
NPI number1295089712
StatusActive
Last updated in NPPESJun 2, 2015
Details
- NPI
- 1295089712
- Entity type
- Organization (NPI-2)
- Legal business name
- Lagrange Institute Of Health Ltd
- Organization subpart
- No
- Enumeration date
- Nov 6, 2012
- Last updated
- Jun 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN1001X | Chiropractor, Nutrition | 038010610 | IL | Yes |
Practice location
430 W Erie StSuite 403
Chicago, IL 60654-6914
Phone 312-255-8810 · Fax 312-846-6817
Mailing address
430 W Erie StSuite 403
Chicago, IL 60654-6914
Phone 312-255-8810 · Fax 312-846-6817
Authorized official
Gina Marie Sirchio
Owner/Provider
3122558810
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