Organization
INTEGRATIVE WELLNESS CLINIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIYANA M URBIN D.C. (OWNER)
(224) 534-7167
Entity
Organization
Contact information
Practice address
9631 GROSS POINT RD, STE.107, SKOKIE, IL 60076-1264
(224) 534-7167
Mailing address
9801 GROSS POINT RD, STE.203, SKOKIE, IL 60076-1173
(224) 534-7167
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038.009006
IL
Other
Enumeration date
12/27/2010
Last updated
01/03/2014
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