Organization
ADVANCED WELLNESS CHIROPRACTIC AND FUNCTIONAL REHAB LLC
Active
Other names
Advanced Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ANTHONY BUESTETON DC (DOCTOR OF CHIROPRACTIC/ OWNER)
(618) 462-6630
Entity
Organization
Contact information
Practice address
231 E DELMAR RD, ALTON, IL 62002-5935
(618) 462-6630
(618) 462-6640
Mailing address
231 E DELMAR RD, ALTON, IL 62002-5935
(618) 462-6630
(618) 462-6640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011560
IL
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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