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Organization
MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD
Active
Organization
MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE DECUBELLIS D.C. (OWNER/CHIROPRACTOR)
(630) 435-6461
Entity
Organization
Contact information
Practice address
6234 S MAIN STREET, DOWNERS GROVE, IL 60516
(630) 435-6461
Mailing address
6234 S MAIN ST, DOWNERS GROVE, IL 60516
(630) 435-6461
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042.619502
IL
Other
Enumeration date
05/26/2009
Last updated
06/04/2009
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