Organization
GOLD COAST WELLNESS CENTER LTD.
Active
Other names
Gold Coast Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARGON BENJAMIN ODISHO D.C. (OWNER)
(312) 944-4653
Entity
Organization
Contact information
Practice address
1360 N SANDBURG TER, SUITE 101, CHICAGO, IL 60610-2075
(312) 944-4653
(312) 944-0747
Mailing address
1360 N SANDBURG TER, SUITE 101, CHICAGO, IL 60610-2075
(312) 944-4653
(312) 944-0747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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