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Organization
SPORTS AND SPINE REHAB S.C.
Active
Organization
SPORTS AND SPINE REHAB S.C.
Active
Other names
Sports and Spine Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN AARON WOLFE D.C. (PRESIDENT)
(815) 464-7113
Entity
Organization
Contact information
Practice address
39 W. BANKVIEW DR, FRANKFORT, IL 60423-3112
(815) 464-7113
(815) 464-7192
Mailing address
39 BANKVIEW DR, FRANKFORT, IL 60423-3112
(815) 464-7113
(815) 464-7192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09919991
BCBSIL
IL
Enumeration date
03/30/2007
Last updated
02/13/2008
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