Organization
WELLNESS CHICAGO COMPLEMENTARY MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY DIANNE DEARINGER D.C. (MEDICAL DIRECTOR)
(312) 467-0678
Entity
Organization
Contact information
Practice address
1101 LAKE ST, SUITE 350, OAK PARK, IL 60301-1085
(312) 467-0678
Mailing address
820 N ORLEANS ST, SUITE 345, CHICAGO, IL 60610-3132
(312) 467-0678
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038-005791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-005791
ILLINOIS LICENSE NUMBER
IL
01
—
1629024518
INDIVIDUAL NPI
—
Enumeration date
04/27/2011
Last updated
04/27/2011
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