Envision Health Clinic
LBN: Envision Health Clinic
Envision Health Clinic is an health care organization with primary practice located at 840 S Waukegan Rd #201, Lake Forest IL 60045-2608. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Envision Health Clinic can be contacted via phone (224) 544-5033, or through Fletcher, Kimberly C via phone (224) 544-5033.
Contact Information
Primary practice address
840 S Waukegan Rd #201
Lake Forest IL 60045-2608
Phone: (224) 544-5033
Fax:
Website:
Authorized official contact:
Name: Fletcher, Kimberly C Doctor of Chiropractic (DC)
Phone: (224) 544-5033
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038011833 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 038012962 | Illinois |
Profile Details
| NPI number | 1184079782 |
|---|---|
| LBN Legal business name | Envision Health Clinic |
| DBA Doing business as | |
| Authorized official | Fletcher, Kimberly C Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2016 |
| Last updated | May 2nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184079782 | NPPES |
| Illinois | Other | 038011833 | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
| Illinois | Other | 038012962 | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
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