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Organization
SOUTHPORT GRACE WELLNESS CENTER LTD.
Active
Organization
SOUTHPORT GRACE WELLNESS CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER C. WOLCOTT DC (PRESIDENT)
(773) 525-2225
Entity
Organization
Contact information
Practice address
1209 W. GRACE ST., CHICAGO, IL 60613
(773) 525-2225
Mailing address
1209 W. GRACE ST., CHICAGO, IL 60613
(773) 525-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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