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Organization

MEDLINK WELLNESS CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT T SIERSZULSKI D.C. (CHIROPRACTIC PHYSICIAN)
(630) 377-7505
Entity
Organization

Contact information

Practice address
1601 E MAIN ST, SUITE D, ST CHARLES, IL 60174-2387
(630) 377-7505
(630) 377-7532
Mailing address
1601 E MAIN ST, SUITE D, ST CHARLES, IL 60174-2387
(630) 377-7505
(630) 377-7532

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011173
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K51401
MEDICARE PTAN
IL
Enumeration date
07/08/2008
Last updated
07/09/2008
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