Organization Name: | NECK TO BACK LAKE COUNTY LLC |
NPI Number: | 1750506077 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID SERAFINI (MEDICAL DIRECTOR) |
Mailing Address: | 71 Waukegan Rd Suite 100 Lake Bluff |
State: | IL US |
Postal Code: | 600443009 |
Phone Number: | 8472830950 |
Fax Number: | 8472830951 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 05/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038010204 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |