Basic Information
| Provider Information | |||||||||
| NPI: | 1225213366 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MCLAUGHLIN CHIROPRACTIC CLINIC LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 71 WAUKEGAN RD | ||||||||
| Address2: | |||||||||
| City: | LAKE BLUFF | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600443009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7737751622 | ||||||||
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| Practice Location | |||||||||
| Address1: | 900 NORTH SHORE DR | ||||||||
| Address2: | SUITE 170 | ||||||||
| City: | LAKE BLUFF | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600442243 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472342346 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/08/2008 | ||||||||
| LastUpdateDate: | 07/02/2013 | ||||||||
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| AuthorizedOfficialLastName: | MCLAUGHLIN | ||||||||
| AuthorizedOfficialFirstName: | JULIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8472342346 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 038336291 | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.