Organization
ILLIANA WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBUR MILONS (OFFICE MANAGER)
(815) 582-3727
Entity
Organization
Contact information
Practice address
330 MADISON ST, JOLIET, IL 60435-6565
(815) 582-3727
(815) 582-3750
Mailing address
330 MADISON ST, JOLIET, IL 60435-6565
(815) 582-3727
(815) 582-3750
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
10/05/2009
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