Organization
NWI WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO RODRIGUEZ (OWNER)
(972) 859-0524
Entity
Organization
Contact information
Practice address
6505 BROADWAY, MERRILLVILLE, IN 46410-3009
(217) 769-7500
Mailing address
6505 BROADWAY, MERRILLVILLE, IN 46410-3009
(217) 769-7500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002597A
IN
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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