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Organization
VANDEVELDE WELLNESS CENTER SC
Active
Organization
VANDEVELDE WELLNESS CENTER SC
Active
Parent organization
VANDEVELDE WELLNESS CENTER SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VANDEVELDE WELLNESS CENTER SC
Authorized official
CHAD VANDEVELDE (OWNER)
(309) 852-3939
Entity
Organization
Contact information
Practice address
615 HOLLIS ST, KEWANEE, IL 61443-3730
(309) 852-3939
(309) 852-3911
Mailing address
615 HOLLIS ST, KEWANEE, IL 61443-3730
(309) 852-3939
(309) 852-3911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011053
IL
Other
Enumeration date
08/26/2010
Last updated
05/10/2013
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