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LIFESTYLE CHIROPRACTIC PC
NPI 1114104262
Chiropractor in Chicago, IL

Active since January 30, 2008
1746 E 55TH STREET, CHICAGO, IL 60615(773) 667-9053(773) 667-9084 Get Directions Write a Review

NPPES record last updated: January 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifestyle Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE CHIROPRACTIC PC (NPI 1114104262) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since January 2008. The organization lists Robert Van Higginbottom, President, as its authorized official.

NPPES Registry Identity

NPI1114104262
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFESTYLE CHIROPRACTIC PC
Location Address1746 E 55TH STREETChicago, IL 60615
Mailing Address1746 E 55th StreetChicago, IL 60615 · (773) 667-9053 · Fax (773) 667-9084
Phone(773) 667-9053
Fax(773) 667-9084
Organization SubpartNo
Authorized OfficialRobert Van HigginbottomPresident · (773) 667-9053
Enumeration DateJanuary 30, 2008
✔ NPI 1114104262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1746 E 55TH STREET, Chicago, IL 60615
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Other Identifiers 3

Medicare UPINU87903IL
Other20995IL · Medicare Group #
Medicare PINK10622IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT VAN HIGGINBOTTOM DC
Chiropractor
1746 E 55TH STREET
CHICAGO, IL 60615
Cook County (773) 667-9053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Chiropractic PC's NPI number?

The NPI number for Lifestyle Chiropractic PC is 1114104262. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Lifestyle Chiropractic PC located?

Lifestyle Chiropractic PC is located at 1746 E 55th Street, Chicago, IL 60615. The listed phone number is (773) 667-9053.

What is Lifestyle Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Lifestyle Chiropractic PC was last updated on January 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.