Lifestyle Rejuvenation Medical Group Pllc
Specialty details in registry · Chicago, IL
At a glance
1740 E 55Th Street, Chicago, IL 60615
NPPES record updated May 29, 2020. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1740 E 55Th StreetChicago, IL 60615
Additional reported practice locations
1746 E 55Th StChicago, IL 606155966
Phone: 7736679053
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM1300X
- Enumeration date
- Jul 2, 2019
- Record updated
- May 29, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Chiropractor
111N00000X
Specialty details in registry
111NR0400X
Specialty details in registry
261QH0100X
Specialty details in registry
261QM1300X · Primary
Specialty details in registry
261QM2500X
Specialty details in registry
261QP2000X
Specialty details in registry
261QP2300X
Specialty details in registry
261QP3300X
Specialty details in registry
261QR0200X
Specialty details in registry
261QR0400X
Specialty details in registry
261QR0800X
Specialty details in registry
302R00000X
Specialty details in registry
305R00000X
Specialty details in registry
305S00000X
Specialty details in registry
332B00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1740 E 55Th StreetChicago, IL 60615
- Phone
- (773) 667-9053
Mailing address
1740 E 55TH STCHICAGO, IL 606155966
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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