Lifetime Health Chiropractic, LLC

NPI #1023473386 in Peoria, Illinois

Provider Information

NPI Number: 1023473386
Entity Type: Organization
Organization Name: Lifetime Health Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 30, 2015
Last Updated: Dec 30, 2015

Practice Location

Address: 7501 N UNIVERSITY ST STE 220
City: Peoria
State: Illinois
ZIP Code: 61614-1258
Phone: (309) 713-1791

Authorized Official

Name: DR. SARAH ENID NIEVES, D.C.
Title: DOCTOR OF CHIROPRACTIC / PHYSICIAN
Phone: (309) 713-1791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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