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Organization
SHARK'S EYE ESTABLISHMENT CORP.
Active
Organization
SHARK'S EYE ESTABLISHMENT CORP.
Active
Other names
Healthy Connection Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR PUODZIUNAS (EXECUTIVE DIRECTOR)
(815) 834-9075
Entity
Organization
Contact information
Practice address
16626 W 159TH ST, SUITE 700, LOCKPORT, IL 60441-8018
(815) 834-9075
(815) 834-9077
Mailing address
16626 W 159TH ST, SUITE 700, LOCKPORT, IL 60441-8018
(815) 834-9075
(815) 834-9077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009499
IL
Other
Enumeration date
06/25/2010
Last updated
03/12/2013
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