Organization
DC SPINAL WELLNESS & SPORTS REHABILITATION LTD
Active
Organization
DC SPINAL WELLNESS & SPORTS REHABILITATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL COFFEY DC (PRESIDENT)
(630) 916-8533
Entity
Organization
Contact information
Practice address
310 S MAIN ST, 310E, LOMBARD, IL 60148-2691
(630) 916-8533
(630) 916-8538
Mailing address
310 SOUTH MAIN STREET, 310E, LOMBARD, IL 60148-4392
(630) 916-8533
(630) 916-8538
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038008821
IL
Other
Enumeration date
10/14/2009
Last updated
10/15/2009
Update your record
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