NPI 1407076649 · live from the CMS NPI Registry
Agape Chiropractic Center PC
Chiropractor in Lake Villa, IL. National Provider Identifier 1407076649, active.
NPI record
| NPI | 1407076649 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 118 S Milwaukee Ave, Lake Villa, IL 60046 |
| Practice phone | 847-356-9696 |
| Enumerated | April 30, 2007 |
| Last updated | May 8, 2015 |
| Authorized official | Kathleen Hufnagle, Chiropractic Physician Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038006057 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.