Organization
PROGRESSIVE CHIROPRACTIC WELLNESS & REHAB CENTRE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON WOODYATT DC (OWNER)
(815) 636-2225
Entity
Organization
Contact information
Practice address
6270 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 636-2225
Mailing address
6270 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
038009629
IL
305S00000X
Point of Service
Primary
038009877
IL
Other
Enumeration date
10/12/2007
Last updated
10/28/2008
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