Shark's Eye Establishment Corp.

NPI #1417268236 in Lockport, Illinois

Provider Information

NPI Number: 1417268236
Entity Type: Organization
Organization Name: Shark's Eye Establishment Corp.
Primary Specialty: Chiropractor
Enumeration Date: Jun 25, 2010
Last Updated: Mar 12, 2013

Practice Location

Address: 16626 W 159TH ST
Address 2: SUITE 700
City: Lockport
State: Illinois
ZIP Code: 60441-8018
Phone: (815) 834-9075

Authorized Official

Name: VICTOR PUODZIUNAS
Title: EXECUTIVE DIRECTOR
Phone: (815) 834-9075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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