Lakeside Chiropractic | |
2 W Grand Ave, Suite 109, Fox Lake, IL 60020-1262 | |
(847) 587-0003 | |
(847) 587-0210 |
Full Name | Lakeside Chiropractic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2 W Grand Ave, Fox Lake, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740498773 | NPI | - | NPPES |
BLUE CROSS BLUE SHIE | Other | IL | 04932520 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lakeside Chiropractic 2 W Grand Ave, Suite 109, Fox Lake, IL 60020-1262 Ph: (847) 587-0003 | Lakeside Chiropractic 2 W Grand Ave, Suite 109, Fox Lake, IL 60020-1262 Ph: (847) 587-0003 |
Dr. Nathaniel J. Tews, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2 W Grand Ave, Unit 109, Fox Lake, IL 60020 Phone: 847-587-0003 Fax: 847-587-0210 | |
Lakeside Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 2 W Grand Ave, Ste 109, Fox Lake, IL 60020 Phone: 847-587-0003 Fax: 847-587-0210 |