Lifestyle Chiropractic Group LLC

NPI #1831358126 in Roscoe, Illinois

Provider Information

NPI Number: 1831358126
Entity Type: Organization
Organization Name: Lifestyle Chiropractic Group LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 3, 2008
Last Updated: Mar 21, 2011

Practice Location

Address: 5290 WILLIAMS DR
City: Roscoe
State: Illinois
ZIP Code: 61073-9222
Phone: (815) 623-3379

Authorized Official

Name: DR. WILLIAM JEFFREY KOPPARI, D.C.
Title: OWNER/DOCTOR OF CHIROPRACTIC
Phone: (815) 623-3379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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