Brightlife Regenerative Medical Clinic Sc
NPI #1548736796 in Libertyville, Illinois
Provider Information
- NPI Number
- 1548736796
- Entity Type
- Organization
- Organization Name
- Brightlife Regenerative Medical Clinic Sc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 15, 2018
- Last Updated
- Nov 27, 2019
Practice Location
- Address
- 1580 S MILWAUKEE AVE STE 102
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-3770
- Phone
- (847) 680-9500
Authorized Official
- Name
- DR. STEVEN C BURLISON, CHIROPRACTOR (D.C.)
- Title
- PRESIDENT
- Phone
- (847) 680-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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