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Organization
ILLINOIS WELLNESS GROUP OF NAPERVILLE, S.C.
Active
Organization
ILLINOIS WELLNESS GROUP OF NAPERVILLE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M GLAUS D.C. (PRESIDENT)
(480) 227-7144
Entity
Organization
Contact information
Practice address
3416 S ROUTE 59, SUITE 108, NAPERVILLE, IL 60564-8148
(630) 416-1151
(630) 416-1158
Mailing address
3416 S ROUTE 59, SUITE 108, NAPERVILLE, IL 60564-8148
(630) 416-1151
(630) 416-1158
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/12/2012
Last updated
06/28/2013
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