Organization · Type 2 NPI
The Wellness Source LLC
Chiropractor · Chicago, IL
NPI number
1033429295
Active
Practice location
920 W Van Buren St
Chicago, IL 60607-3520
Mailing address
1245 Milwaukee Ave, 202
Glenview, IL 60025-2400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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.
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About NPI 1033429295
The Wellness Source LLC's National Provider Identifier is 1033429295, issued on Oct 20, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 19, 2013.