# WONDER LAKE CHIROPRACTIC, LLC

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

## Provider details

- **NPI number:** 1134541428
- **Authorized official:** DR. METE A. DURUM D.C., D.A.B.C.I. (CHIROPRACTIC PHYSICIAN/OWNER)
- **Authorized official phone:** (815) 728-0300

## Contact information

- **Practice address:** 5323 E WONDER LAKE RD, WONDER LAKE, IL 60097-9051
- **Practice address phone:** (815) 728-0300
- **Practice address fax:** (815) 728-1515
- **Mailing address:** 5323 E WONDER LAKE RD, WONDER LAKE, IL 60097-9051
- **Mailing address phone:** (815) 728-0300
- **Mailing address fax:** (815) 728-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038006125 | IL | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 01/06/2014