Universal Wellness Source At Streeterville, Sc

NPI 1447670039 - Chiropractor - 111N00000X

NPI Details
NPI 1447670039
Enumeration Date 04/22/2014
Last Updated 04/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name KAYLYNNE M KAYLYNNE
Position OFFICER
Phone (402) 578-5133
Fax
Practice Location
455 N CITYFRONT PLAZA DR
2040
CHICAGO IL, 60611-5503, US
Phone (402) 578-5133
Fax
Business Location
70 E LAKE ST
SUITE 620
CHICAGO IL, 60601-5959, US
Phone (402) 578-5133
Fax (312) 419-9315
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038011454
Remove 1447670039 NPI Number
 

According to our database, Universal Wellness Source At Streeterville, Sc NPI is 1447670039, taxonomy code is 111N00000X and license number is 038011454, license state is located at Illinois. Universal Wellness Source At Streeterville, Sc physically located at 455 N Cityfront Plaza Dr, Chicago IL, 60611-5503. NPI Number 1033115704 has the healthcare provider type.

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1447670039 NPI number is provided on an as is basis without warranty of any kind. 1447670039 is maintained by the National Plan & Provider Enumeration System. The contents of Universal Wellness Source At Streeterville, Sc are for informational purposes only.