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Organization
ST. CHARLES PAIN AND WELLNESS CENTER, LLC
Active
Organization
ST. CHARLES PAIN AND WELLNESS CENTER, LLC
Active
Other names
Dr. Jacob M. Hertz
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB MICHAEL HERTZ D.C. (OWNER)
(563) 505-2402
Entity
Organization
Contact information
Practice address
3755 E MAIN ST, SUITE185, ST CHARLES, IL 60174-2463
(630) 513-7770
(630) 513-7778
Mailing address
3755 E MAIN ST, SUITE185, ST CHARLES, IL 60174-2463
(630) 513-7770
(630) 513-7778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010924
IL
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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