Organization
WELLVIEW PARTNERS, LLC
Active
Other names
Wellness From The Inside Out
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM SEVERANCE D.C. (OWNER)
(224) 544-5777
Entity
Organization
Contact information
Practice address
225 E DEERPATH, #132, LAKE FOREST, IL 60045-1952
(224) 544-5777
Mailing address
225 E DEERPATH, #132, LAKE FOREST, IL 60045-1952
(224) 544-5777
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038008858
IL
Other
Enumeration date
02/16/2012
Last updated
03/30/2012
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