Organization
INTERCHANGE MEDICAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA HERZER D.C. (OWNER CHIROPRACTIC PHYSICIAN)
(312) 451-4961
Entity
Organization
Contact information
Practice address
1147 S WABASH AVE # 250, CHICAGO, IL 60605-2346
(312) 235-0900
Mailing address
1147 S WABASH AVE # 250, CHICAGO, IL 60605-2346
(312) 235-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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