Genesis Medical, Llc

LBN: Life Clinic, Llc
Genesis Medical, Llc is an health care organization with primary practice located at 20 E Northwest Hwy , Mt Prospect IL 60056-3223. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Life Clinic, Llc can be contacted via phone (847) 342-9033, or through Lee, Charles via phone (847) 342-9033.

Contact Information

Primary practice address
20 E Northwest Hwy Mt Prospect IL 60056-3223
Phone: (847) 342-9033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Charles Doctor of Chiropractic (DC)
Phone: (847) 342-9033

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-007948 Illinois
Dental Providers / Dentist 122300000X Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036052025 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1043598501
LBN Legal business name Life Clinic, Llc
DBA Doing business as Genesis Medical, Llc
Authorized official Lee, Charles Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2011
Last updated Jun 26th, 2015 - about 10 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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