Organization
PHOENIX CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH GUIDOLIN D.C. (CHIROPRACTOR/OWNER)
(331) 204-6196
Entity
Organization
Contact information
Practice address
1415 BOND ST, SUITE 171, NAPERVILLE, IL 60563-2388
(331) 204-6196
Mailing address
1415 BOND ST, SUITE 171, NAPERVILLE, IL 60563-2388
(331) 204-6196
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038012959
IL
Other
Enumeration date
11/22/2016
Last updated
01/27/2017
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