Healthcare Provider Details
I. General information
NPI: 1295947703
Provider Name (Legal Business Name): ALL ABOUT HEALTH, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1605 S. MICHIGAN AVENUE
CHICAGO IL
60616
US
IV. Provider business mailing address
1605 S. MICHIGAN AVENUE
CHICAGO IL
60616
US
V. Phone/Fax
- Phone: 312-212-1404
- Fax: 312-212-1434
- Phone: 312-212-1404
- Fax: 312-212-1434
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name: DR.
ILZE
LIEPINS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 312-212-1404