The Wellness Source Of Roscoe Village

NPI 1215296124 - Chiropractor - 111N00000X

NPI Details
NPI 1215296124
Enumeration Date 05/11/2012
Last Updated 05/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DENNIS J DENNIS
Position MANAGING MEMBER
Phone (224) 567-8580
Fax
Practice Location
1902 W BELMONT AVE
CHICAGO IL, 60657-9474, US
Phone (224) 567-8580
Fax
Business Location
1902 W BELMONT AVE
CHICAGO IL, 60657-9474, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
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According to our database, The Wellness Source Of Roscoe Village NPI is 1215296124, taxonomy code is 111N00000X The Wellness Source Of Roscoe Village physically located at 1902 W Belmont Ave, Chicago IL, 60657-9474. NPI Number 1033115704 has the healthcare provider type.

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1215296124 NPI number is provided on an as is basis without warranty of any kind. 1215296124 is maintained by the National Plan & Provider Enumeration System. The contents of The Wellness Source Of Roscoe Village are for informational purposes only.