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General NPI Number Information
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NPI Number | 1760333595
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Entity Type | Organization
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Legal Business Name | NORTH SUBURBAN INJURY CARE
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1040 S MILWAUKEE AVE STE 105
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City | WHEELING
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State | IL
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Zip | 60090-6304
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Country | US
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Telephone | 847-903-2002
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Fax | 847-914-6030
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Provider Business Mailing Address
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Address Line | 1040 S MILWAUKEE AVE STE 105
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City | WHEELING
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State | IL
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Zip | 60090-6304
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Country | US
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Telephone | 847-903-2002
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Fax | 847-914-6030
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MAX NICHOLAS LAZAROWICH
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Credential | DC
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Telephone | 773-316-5786
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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 |
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License Number State |
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