Organization
INTEGRATIVE CHIROPRACTIC & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DAVID MICHAELS D.C. (MANAGER)
(708) 771-3471
Entity
Organization
Contact information
Practice address
7756 MADISON ST, SUITE 8, RIVER FOREST, IL 60305-2058
(708) 711-3471
Mailing address
106 CALENDAR CT, SUITE 94, LA GRANGE, IL 60525-2325
(708) 771-3471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008307
IL
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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