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 is a Chiropractor 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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