MEDICARE: CHIROPRACTIC FAMILY HEALTH CLINIC LH LLC

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	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1710370739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC FAMILY HEALTH CLINIC LH LLC

Provider Business Mailing Address
First Line	:	4614 W ALGONQUIN RD
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-6722
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4614 W ALGONQUIN RD
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-6722
Country	:	US
Telephone Number	:	224-858-4996
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELDON MEEKS
Credential	:
Telephone Number	:	847-352-4802

Provider Enumeration Date	:	03/16/2015
Last Update Date	:	03/16/2015

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