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Organization
THE WELLNESS SOURCE LLC
Active
Organization
THE WELLNESS SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS JAMES LOPEZ D.C. (OWNER)
(661) 378-8132
Entity
Organization
Contact information
Practice address
920 W VAN BUREN ST, CHICAGO, IL 60607-3520
(661) 378-8132
Mailing address
1245 MILWAUKEE AVE, 202, GLENVIEW, IL 60025-2400
(224) 567-8580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
09/19/2013
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