MEDICARE: DR. ELIZABETH M EYLES 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	038.012421	IL

General Provider Information

NPI Number	:	1598103483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH M EYLES D.C

Provider Business Mailing Address
First Line	:	4614 W ALGONQUIN RD
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-6722
Country	:	US
Telephone Number	:	815-477-8844
Fax Number	:

Provider Business Practice Location Address
First Line	:	4614 W ALGONQUIN RD
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-6722
Country	:	US
Telephone Number	:	815-477-8844
Fax Number	:

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

Provider Enumeration Date	:	06/12/2013
Last Update Date	:	03/25/2020

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