Organization
WELLNESS COLLECTIVE CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP RUNGE JR. DC (OWNER, CHIROPRACTOR)
(630) 254-0817
Entity
Organization
Contact information
Practice address
420 W HURON ST STE 231, CHICAGO, IL 60654-8475
(773) 706-8295
Mailing address
420 W HURON ST STE 231, CHICAGO, IL 60654-8475
(773) 706-8295
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038013230
IL
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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