Spine & Joint Institute of Lake County

NPI #1801190525 in Waukegan, Illinois

Provider Information

NPI Number: 1801190525
Entity Type: Organization
Organization Name: Spine & Joint Institute of Lake County
Primary Specialty: Chiropractor - Neurology
Enumeration Date: Jan 10, 2011
Last Updated: Aug 16, 2012

Practice Location

Address: 2634 GRAND AVE STE 100
City: Waukegan
State: Illinois
ZIP Code: 60085-2459
Phone: (847) 775-0800

Authorized Official

Name: MR. GORDON SETO
Title: CLINIC DIRECTOR
Phone: (847) 775-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Neurology — Neurology	111NN0400X	Primary

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