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Organization
TREE OF HEALTH AND WELLNESS
Active
Organization
TREE OF HEALTH AND WELLNESS
Active
Other names
Tree of Health and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETRINA JACKSON DC (CHIROPRACTOR)
(708) 914-4445
Entity
Organization
Contact information
Practice address
17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 60429-2079
(708) 914-4445
(844) 836-2867
Mailing address
17516 E CARRIAGEWAY DR STE B, HAZEL CREST, IL 60429-2079
(708) 914-4445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295377240
NPI
IL
Enumeration date
09/22/2021
Last updated
09/22/2021
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