Organization · Type 2 NPI
At Ease Wellness Center LLC
Chiropractor · Chicago, IL
NPI number
1710063102
Active
Practice location
4403 N. Broadway St.
Chicago, IL 60640
Fax (773) 561-7923
Mailing address
4403 N Broadway St
Chicago, IL 60640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | None listed |
| Chiropractor Primary | 111N00000X | 038009989 (IL) |
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 1710063102
At Ease Wellness Center LLC's National Provider Identifier is 1710063102, issued on Oct 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2010.