Organization
EDGERWATER REHILITATION & WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KUST (OFFICE MANAGER)
(815) 404-3727
Entity
Organization
Contact information
Practice address
545 N LAKE ST, MUNDELEIN, IL 60060-1826
(815) 404-3727
Mailing address
7 SHERWOOD CT, LAKE IN THE HILLS, IL 60156-5929
(815) 404-3727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008417
IL
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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