| Iatgw | |
|
765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 | |
| (847) 550-1115 | |
| (847) 550-1117 |
| Full Name | Iatgw |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 765 Ela Rd, Lake Zurich, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114098068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Iatgw 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 Ph: (847) 550-1115 | Iatgw 765 Ela Rd, Suite 105, Lake Zurich, IL 60047-2385 Ph: (847) 550-1115 |
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