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Organization
PROWELL CHIROPRACTIC INC
Active
Organization
PROWELL CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PROWELL D.C. (PRESIDENT)
(708) 371-9347
Entity
Organization
Contact information
Practice address
12015 WESTERN AVE, SUITE 202, BLUE ISLAND, IL 60406-1193
(708) 371-9347
(708) 371-9359
Mailing address
12015 S. WESTERN AVE, SUITE 202, BLUE ISLAND, IL 60406-1195
(708) 371-9347
(708) 371-9359
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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