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Organization
MILLENIUM WELLNESS CENTER, S.C.
Active
Organization
MILLENIUM WELLNESS CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIAN KRAVTSOV D.C. (PRESIDENT)
(847) 361-4971
Entity
Organization
Contact information
Practice address
8 S MICHIGAN AVE, SUITE 612, CHICAGO, IL 60603-3357
(847) 361-4971
Mailing address
8 S MICHIGAN AVE, SUITE 612, CHICAGO, IL 60603-3357
(847) 361-4971
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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