Organization
NORTHSTAR CHIROPRACTIC NATURAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID RIESELMAN DC (DIRECTOR)
(630) 795-1889
Entity
Organization
Contact information
Practice address
4513 LINCOLN AVE, SUITE 212, LISLE, IL 60532-1289
(630) 795-1889
(630) 281-2802
Mailing address
4513 LINCOLN AVE, SUITE 212, LISLE, IL 60532-1289
(630) 795-1889
(630) 281-2802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
060008903
IL
Other
Enumeration date
10/17/2006
Last updated
01/02/2013
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