Organization
MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE DECUBELLIS D.C. (OWNER/CHIROPRACTOR)
(630) 435-6461
Entity
Organization
Contact information
Practice address
6234 S MAIN STREET, DOWNERS GROVE, IL 60516
(630) 435-6461
Mailing address
6234 S MAIN ST, DOWNERS GROVE, IL 60516
(630) 435-6461
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042.619502
IL
Other
Enumeration date
05/26/2009
Last updated
06/04/2009
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