| Envision Health Clinic | |
|
840 S Waukegan Rd, #201, Lake Forest, IL 60045-2608 | |
| (224) 544-5033 | |
| Not Available |
| Full Name | Envision Health Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 840 S Waukegan Rd, Lake Forest, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184079782 | NPI | - | NPPES |
| 038011833 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
| 038012962 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038011833 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038012962 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Health Clinic 840 S Waukegan Rd, #201, Lake Forest, IL 60045-2608 Ph: () - | Envision Health Clinic 840 S Waukegan Rd, #201, Lake Forest, IL 60045-2608 Ph: (224) 544-5033 |
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