Organization
INTEGRATED REHABILITATION CENTERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ELWOOD MANNEY D.C. (PRESIDENT)
(630) 655-9380
Entity
Organization
Contact information
Practice address
812 E OGDEN AVE, WESTMONT, IL 60559-1246
(630) 655-9380
(630) 655-9386
Mailing address
812 E OGDEN AVE, WESTMONT, IL 60559-1246
(630) 655-9380
(630) 655-9386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232677
PROVIDER NUMBER
IL
Enumeration date
01/29/2007
Last updated
03/03/2008
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