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Organization
OSWEGO CHIROPRACTIC, LTD.
Active
Organization
OSWEGO CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE WADE D.C. (CHIROPRACTIC PHYSICIAN)
(630) 554-3578
Entity
Organization
Contact information
Practice address
73 W VAN BUREN ST, OSWEGO, IL 60543-7213
(630) 554-3578
(630) 554-3792
Mailing address
628 SALEM CIR, OSWEGO, IL 60543-8665
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
07/05/2007
Last updated
07/17/2007
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