Eastland Lifestyle Center

NPI #1235688110 in Bloomington, Illinois

Provider Information

NPI Number: 1235688110
Entity Type: Organization
Organization Name: Eastland Lifestyle Center
Primary Specialty: Chiropractor
Enumeration Date: Oct 3, 2016
Last Updated: Aug 27, 2019

Practice Location

Address: 2710 E LINCOLN ST
City: Bloomington
State: Illinois
ZIP Code: 61704-6010
Phone: (309) 662-8418

Authorized Official

Name: DR. JESSICA BRUIN, D.C.
Title: OWNER
Phone: (309) 662-8418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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