Organization
ADVANCE PERFORMANCE PAIN AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FENNEMA D.C. (PRESIDENT)
(630) 456-5315
Entity
Organization
Contact information
Practice address
1222 N EOLA RD, AURORA, IL 60502-9409
(630) 499-8804
(630) 820-1360
Mailing address
1222 N EOLA RD, AURORA, IL 60502-9409
(630) 499-8804
(630) 820-1360
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038010696
IL
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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