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Organization
MIDWEST WELLNESS ASSOCIATES LLC
Active
Organization
MIDWEST WELLNESS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK K HOLLEY DC (MEMBER MANAGER)
(630) 553-1876
Entity
Organization
Contact information
Practice address
654 W VETERANS PKWY, SUITE B, YORKVILLE, IL 60560-4567
(630) 553-1876
(630) 566-5180
Mailing address
654 W VETERANS PKWY, SUITE B, YORKVILLE, IL 60560-4567
(630) 553-1876
(630) 566-5180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006027
IL
Other
Enumeration date
04/23/2007
Last updated
09/04/2012
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