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Organization
NORTHCOAST WELLNESS CENTER LLC
Active
Organization
NORTHCOAST WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS TANSOR D.C. (OWNER)
(630) 940-8830
Entity
Organization
Contact information
Practice address
224 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9368
(630) 940-8830
Mailing address
224 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9368
(630) 940-8830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012542
IL
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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