Organization
GONZAGA LTD
Active
Other names
Simple Balance Holistic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAENA STANLEY-GONZAGA D.C. (PRESIDENT)
(847) 468-6012
Entity
Organization
Contact information
Practice address
221 E CHICAGO ST, ELGIN, IL 60120-6502
(847) 468-6012
(847) 468-6013
Mailing address
221 E CHICAGO ST, ELGIN, IL 60120-6502
(847) 468-6012
(847) 468-6013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008895
IL
Other
Enumeration date
03/21/2007
Last updated
07/07/2008
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