Healthcare Provider Details

I. General information

NPI: 1164458642
Provider Name (Legal Business Name): MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 S CEDAR LAKE RD
ROUND LAKE IL
60073-5711
US

IV. Provider business mailing address

1829 S CEDAR LAKE RD
ROUND LAKE IL
60073-5711
US

V. Phone/Fax

Practice location:
  • Phone: 847-740-9200
  • Fax: 847-740-9215
Mailing address:
  • Phone: 847-740-9200
  • Fax: 847-740-9215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. LINA MILRUD
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-740-9200