Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Spine and Wellness Inc

Organization Chiropractor · NPI 1366998874

Lakeside Spine and Wellness Inc provides Chiropractor services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1828 W Wilson Ave
Chicago, IL 60640-5204
Phone: (773) 828-9506
Fax: (773) 439-5168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038013006 (IL)

Record details

NPI number1366998874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kiper — Owner · (773) 828-9506
NPI enumeratedAugust 26, 2016
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 180021, Chicago, IL 60618-0509

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