Individual
DR. CHRISTOPHER C WOLCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1413 W GRACE ST, CHICAGO, IL 60613-2801
(773) 525-2225
Mailing address
1413 W GRACE ST, CHICAGO, IL 60613-2801
(773) 525-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-33725
BCBS
IL
Enumeration date
01/08/2007
Last updated
07/08/2007
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