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NPI 1699782144

NPI 1699782144 : DANIEL JOSEPH LEHOUX DC : ROSELLE, IL

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General NPI Number Information
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    NPI Number           |    1699782144
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL JOSEPH LEHOUX DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    09/17/2024
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Provider Practice Location Address
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    Address Line         |    1540 LAKE ST 
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    City                 |    ROSELLE
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    State                |    IL
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    Zip                  |    60172-3330
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    Country              |    US
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    Telephone            |    630-295-9900
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    Fax                  |    630-295-9909
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Provider Business Mailing Address
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    Address Line         |    570 VILLAGE CENTER DR STE 205 
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    City                 |    BURR RIDGE
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    State                |    IL
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    Zip                  |    60527-4526
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    Country              |    US
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    Telephone            |    630-920-4670
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    038006933
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    111NS0005X
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    Taxonomy Name        |    Sports Physician Chiropractor
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    License Number       |    038006933
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    IL
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