Provider Demographics
NPI:1649040478
Name:LC MANHATTAN LLC
Entity type:Organization
Organization Name:LC MANHATTAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:DARLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-478-4151
Mailing Address - Street 1:24520 S US HIGHWAY 52 UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-7784
Mailing Address - Country:US
Mailing Address - Phone:815-478-4151
Mailing Address - Fax:
Practice Address - Street 1:24520 S US HIGHWAY 52 UNIT 2
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-7784
Practice Address - Country:US
Practice Address - Phone:815-478-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOCKPORT CHIROPRACTIC CENTER LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty