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Organization
ADVANCE PERFORMANCE PAIN AND WELLNESS CENTER
Active
Organization
ADVANCE PERFORMANCE PAIN AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FENNEMA D.C. (PRESIDENT)
(630) 456-5315
Entity
Organization
Contact information
Practice address
1222 N EOLA RD, AURORA, IL 60502-9409
(630) 499-8804
(630) 820-1360
Mailing address
1222 N EOLA RD, AURORA, IL 60502-9409
(630) 499-8804
(630) 820-1360
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038010696
IL
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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