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Organization

CRYSTAL LAKE NATURAL HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMANDA IRENE CWIKLA D.C. (OWNER)
(312) 451-4961
Entity
Organization

Contact information

Practice address
30B N WILLIAMS ST, CRYSTAL LAKE, IL 60014
(312) 451-4961
Mailing address
807 POINTE DR, CRYSTAL LAKE, IL 60014-8024
(312) 451-4961

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011708
IL

Other

Enumeration date
09/26/2013
Last updated
09/26/2013
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