Evolve Chiropractic Lake Zurich Pllc | |
275 S Rand Rd Ste A9, Lake Zurich, IL 60047-2273 | |
(847) 802-4824 | |
Not Available |
Full Name | Evolve Chiropractic Lake Zurich Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 275 S Rand Rd Ste A9, Lake Zurich, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922743996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Tyler W Vitzthum |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245686997 PECOS PAC ID: 9638432826 Enrollment ID: I20221207003150 |
Provider Name | Shaniece Cathey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619677390 PECOS PAC ID: 5597112599 Enrollment ID: I20231113003594 |
Mailing Address | Practice Location Address |
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Evolve Chiropractic Lake Zurich Pllc 10705 Ruth Rd, Huntley, IL 60142-7156 Ph: (847) 802-4824 | Evolve Chiropractic Lake Zurich Pllc 275 S Rand Rd Ste A9, Lake Zurich, IL 60047-2273 Ph: (847) 802-4824 |
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