Organization
BODY GENESIS CENTER FOR INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLOMON LIBURD DO (CEO/PRESIDENT)
(708) 343-3368
Entity
Organization
Contact information
Practice address
937 S MANNHEIM RD, WESTCHESTER, IL 60154-2552
(708) 343-3368
Mailing address
937 S MANNHEIM RD, WESTCHESTER, IL 60154-2552
(708) 343-3368
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038.010603
IL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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