Brightlife Regenerative Medical Clinic Lombard Sc

NPI #1306465786 in Lombard, Illinois

Provider Information

NPI Number
1306465786
Entity Type
Organization
Organization Name
Brightlife Regenerative Medical Clinic Lombard Sc
Primary Specialty
General Practice
Enumeration Date
Apr 15, 2020
Last Updated
Apr 17, 2020

Practice Location

Address
442 E ROOSEVELT RD
ZIP Code
60148-4630
Phone
(630) 261-0001

Authorized Official

Name
STEVEN BURLISON
Title
PRESIDENT
Phone
(630) 261-0001

Specialties & Taxonomy Codes

Specialty
General Practice

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