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:
Map and Directions
Authorized official contact:
Name: Fletcher, Kimberly C Doctor of Chiropractic (DC)
Phone: (224) 544-5033

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
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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