Provider Demographics
NPI:1821246364
Name:LARKS, LAVAR D (DC)
Entity Type:Individual
Prefix:DR
First Name:LAVAR
Middle Name:D
Last Name:LARKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:2625 BUTTERFIELD RD
Mailing Address - Street 2:STE 301N
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1234
Mailing Address - Country:US
Mailing Address - Phone:630-320-6400
Mailing Address - Fax:630-701-1007
Practice Address - Street 1:10 S LASALLE ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-1002
Practice Address - Country:US
Practice Address - Phone:312-564-5420
Practice Address - Fax:312-564-5423
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2015-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL038011500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor