| Revive Family Chiropractic Llc | |
|
343 E Maple Ave, Mundelein, IL 60060-1970 | |
| (847) 780-9005 | |
| Not Available |
| Full Name | Revive Family Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 343 E Maple Ave, Mundelein, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467230722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Hyunjung Lee |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912680265 PECOS PAC ID: 3577911288 Enrollment ID: I20231120001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Family Chiropractic Llc 343 E Maple Ave, Mundelein, IL 60060-1970 Ph: () - | Revive Family Chiropractic Llc 343 E Maple Ave, Mundelein, IL 60060-1970 Ph: (847) 780-9005 |
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