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Organization
GOLD COAST WELLNESS CENTER LTD.
Active
Organization
GOLD COAST WELLNESS CENTER LTD.
Active
Other names
Gold Coast Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARGON BENJAMIN ODISHO D.C. (OWNER)
(312) 944-4653
Entity
Organization
Contact information
Practice address
1360 N SANDBURG TER, SUITE 101, CHICAGO, IL 60610-2075
(312) 944-4653
(312) 944-0747
Mailing address
1360 N SANDBURG TER, SUITE 101, CHICAGO, IL 60610-2075
(312) 944-4653
(312) 944-0747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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