Lifestyle Chiropractic & Progressive Rehab

NPI #1083881080 in Crown Point, Indiana

Provider Information

NPI Number
1083881080
Entity Type
Organization
Organization Name
Lifestyle Chiropractic & Progressive Rehab
Primary Specialty
Chiropractor
Enumeration Date
May 9, 2008
Last Updated
May 9, 2008

Practice Location

Address
11065 BROADWAY
Address 2
BLDG 12 STE A
State
Indiana
ZIP Code
46307-7301
Phone
(312) 909-1518

Authorized Official

Name
MITCHELL W MONDAY, DC
Title
PARTNER
Phone
(312) 909-1518

Specialties & Taxonomy Codes

Specialty
Chiropractor

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