Provider Demographics
NPI:1073693008
Name:LGN LTD
Entity Type:Organization
Organization Name:LGN LTD
Other - Org Name:DELANY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KAESKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-623-4100
Mailing Address - Street 1:1810 N DELANY ROAD
Mailing Address - Street 2:SUITE K
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031
Mailing Address - Country:US
Mailing Address - Phone:847-623-4100
Mailing Address - Fax:847-623-9582
Practice Address - Street 1:1810 N DELANY ROAD
Practice Address - Street 2:SUITE K
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031
Practice Address - Country:US
Practice Address - Phone:847-623-4100
Practice Address - Fax:847-623-9582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty