Provider Demographics
NPI:1417939489
Name:LAPP CHIROPRACTIC P C
Entity Type:Organization
Organization Name:LAPP CHIROPRACTIC P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-945-8255
Mailing Address - Street 1:400 LAKE COOK RD
Mailing Address - Street 2:100A
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5607
Mailing Address - Country:US
Mailing Address - Phone:847-945-8255
Mailing Address - Fax:847-945-8403
Practice Address - Street 1:400 LAKE COOK RD
Practice Address - Street 2:100A
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5607
Practice Address - Country:US
Practice Address - Phone:847-945-8255
Practice Address - Fax:847-945-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4982064OtherBCBS
IL532460Medicare ID - Type Unspecified