MEDICARE: DR. LUCINDA J HOVI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038004872	IL

General Provider Information

NPI Number	:	1164426789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCINDA J HOVI D.C.

Provider Business Mailing Address
First Line	:	1400 N SEMINARY AVE
Second Line	:	SUITE K
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-2980
Country	:	US
Telephone Number	:	815-338-9150
Fax Number	:	815-337-0279

Provider Business Practice Location Address
First Line	:	1400 N SEMINARY AVE
Second Line	:	STE K
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-2980
Country	:	US
Telephone Number	:	815-338-9150
Fax Number	:	815-337-0279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	09/28/2011

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