Organization
RESTOR HEALING CENTRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA L SARGENT DC (CEO/PHYSICIAN)
(630) 682-5090
Entity
Organization
Contact information
Practice address
416 E ROOSEVELT RD, SUITE 107, WHEATON, IL 60187-5589
(630) 682-5090
(630) 260-1230
Mailing address
416 E ROOSEVELT RD, SUITE 107, WHEATON, IL 60187-5589
(630) 682-5090
(630) 260-1230
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038007040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SPACE HOLDER OTHER I
SPACE HOLDER OTHER ID
IL
Enumeration date
11/18/2010
Last updated
11/18/2010
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