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Organization

ETHEN CHIROPRACTIC AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH JOHN ETHEN D.C (OWNER/CHIROPRACTOR)
(847) 835-4700
Entity
Organization

Contact information

Practice address
630 VERNON AVE STE F, GLENCOE, IL 60022-1689
(847) 835-4700
(847) 835-8408
Mailing address
630 VERNON AVE STE F, GLENCOE, IL 60022-1689
(847) 835-4700
(847) 835-8408

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011678
IL

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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