Organization
INTEGRATED HEALTH SOURCE S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN CATARELLO (PRESIDENT)
(847) 254-1492
Entity
Organization
Contact information
Practice address
2411 WEST JEFFERSON STREET, JOLIET, IL 60435-6448
(815) 744-3505
Mailing address
2411 WEST JEFFERSON STREET, JOLIET, IL 60435-6448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012017
IL
Other
Enumeration date
09/19/2012
Last updated
08/27/2013
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