Brightlife Regenerative Medical Clinic Lombard SC
Brightlife Regenerative Medical Clinic Lombard SC provides General Practice Physician services in Lombard, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
442 E Roosevelt RdLombard, IL 60148-4630
Phone: (630) 261-0001
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1306465786 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steven Burlison — President · (630) 261-0001 |
| NPI enumerated | April 15, 2020 |
| Last updated in NPPES | April 17, 2020 |
| Certification date | April 17, 2020 |
| Mailing address | 442 E Roosevelt Rd, Lombard, IL 60148-4630 |
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