# WELLNESS COLLECTIVE CHICAGO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023594181
- **Authorized official:** PHILIP RUNGE JR. DC (OWNER, CHIROPRACTOR)
- **Authorized official phone:** (630) 254-0817

## Contact information

- **Practice address:** 420 W HURON ST STE 231, CHICAGO, IL 60654-8475
- **Practice address phone:** (773) 706-8295
- **Mailing address:** 420 W HURON ST STE 231, CHICAGO, IL 60654-8475
- **Mailing address phone:** (773) 706-8295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038013230 | IL | Yes |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 07/12/2018
