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Organization
SAUGANASH WELLNESS CENTER, INC
Active
Organization
SAUGANASH WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCROY (BILLING COORDINATOR)
(773) 767-3822
Entity
Organization
Contact information
Practice address
6160 N CICERO AVE, CHICAGO, IL 60646-4312
(773) 283-4470
(773) 767-3944
Mailing address
6160 N CICERO AVE, CHICAGO, IL 60646-4312
(773) 283-4470
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636131
BC/BS PROVIDER #
IL
Enumeration date
06/17/2006
Last updated
03/26/2010
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