David E Lyseng | Homewood, IL • PECOS Search

David E Lyseng

Chiropractor

Chiropractic Providers

1224 Birch Rd, Homewood, IL 60430-3447

PECOS Enrollment

Based on the most recent information from CMS, provider David E Lyseng does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528171386
Provider Type
Individual
Full Name
Lyseng, David E
Title
Dr.
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/16/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1224 Birch Rd, Homewood, IL 60430-3447

Unlisted Fax

Mailing Location

PO Box 971, Homewood, IL 60430-0971

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License Unlisted Issuer Illinois