# LEGENDARY CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Universal Wellness Roscoe Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710743125
- **Authorized official:** DR. JOHN REUTER DC (OWNER)
- **Authorized official phone:** (847) 513-3628

## Contact information

- **Practice address:** 1902 W BELMONT AVE, CHICAGO, IL 60657-9474
- **Practice address phone:** (773) 207-4092
- **Mailing address:** 1902 W BELMONT AVE, CHICAGO, IL 60657-9474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 02/23/2024