MEDICARE: DR. ELEANOR F. LELOUP DC

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	038012854	IL

General Provider Information

NPI Number	:	1467977710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELEANOR F. LELOUP DC

Provider Business Mailing Address
First Line	:	845 N LAKE ST
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-3150
Country	:	US
Telephone Number	:	630-844-1244
Fax Number	:	630-844-1199

Provider Business Practice Location Address
First Line	:	845 N LAKE ST
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-3177
Country	:	US
Telephone Number	:	630-844-1244
Fax Number	:	630-844-1199

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

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	07/21/2022

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Directions to “ DR. ELEANOR F. LELOUP DC” Practice Location

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