# MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD

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

## Provider details

- **NPI number:** 1124253836
- **Authorized official:** DR. MIKE DECUBELLIS D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (630) 435-6461

## Contact information

- **Practice address:** 6234 S MAIN STREET, DOWNERS GROVE, IL 60516
- **Practice address phone:** (630) 435-6461
- **Mailing address:** 6234 S MAIN ST, DOWNERS GROVE, IL 60516
- **Mailing address phone:** (630) 435-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 042.619502 | IL | Yes |

## Other

- **Enumeration date:** 05/26/2009
- **Last updated:** 06/04/2009