# NORTHSTAR CHIROPRACTIC NATURAL WELLNESS CENTER

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

## Provider details

- **NPI number:** 1326129636
- **Authorized official:** DR. PAUL DAVID RIESELMAN DC (DIRECTOR)
- **Authorized official phone:** (630) 795-1889

## Contact information

- **Practice address:** 4513 LINCOLN AVE, SUITE 212, LISLE, IL 60532-1289
- **Practice address phone:** (630) 795-1889
- **Practice address fax:** (630) 281-2802
- **Mailing address:** 4513 LINCOLN AVE, SUITE 212, LISLE, IL 60532-1289
- **Mailing address phone:** (630) 795-1889
- **Mailing address fax:** (630) 281-2802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 060008903 | IL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 01/02/2013