Organization
DR. KWON BLUE MOUNTAIN WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIHYUN KWON D.C. (OWNER/DOCTOR)
(815) 439-6161
Entity
Organization
Contact information
Practice address
23909 W RENWICK RD, PLAINFIELD, IL 60544-2108
(815) 439-6161
Mailing address
22W385 BALSAM DR, GLEN ELLYN, IL 60137-7305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009785
IL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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