Lakefront Chiropractic

NPI #1972990737 in Glencoe, Illinois

Provider Information

NPI Number: 1972990737
Entity Type: Organization
Organization Name: Lakefront Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Apr 20, 2015
Last Updated: Apr 20, 2015

Practice Location

Address: 630 VERNON AVE
Address 2: F
City: Glencoe
State: Illinois
ZIP Code: 60022-1681
Phone: (847) 835-4700

Authorized Official

Name: DR. JOSEPH ETHEN, D.C.
Title: OWNER/DOCTOR
Phone: (847) 835-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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