Organization
WILSON CHIROPRACTIC LLC
Active
Other names
Pure Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS JAMES WILSON DC (AUTHORIZED OFFICIAL)
(630) 699-3666
Entity
Organization
Contact information
Practice address
19265 W CAPITOL DR, UNIT B, BROOKFIELD, WI 53045-2740
(630) 699-3666
Mailing address
19265 W CAPITOL DR, UNIT B, BROOKFIELD, WI 53045-2740
(630) 699-3666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5035-12
WI
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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