Organization
COMPLETE WELLNESS CENTER, S.C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LYNN GERITANO DC (CHIROPRACTIC PHYSICIAN)
(708) 614-9800
Entity
Organization
Contact information
Practice address
7060 CENTENNIAL DR, SUITE 102, TINLEY PARK, IL 60477-1643
(708) 614-9800
(708) 614-9800
Mailing address
7060 CENTENNIAL DR, SUITE 102, TINLEY PARK, IL 60477-1643
(708) 614-9800
(708) 614-9800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632592
BLUE CROSS &BLUE SHIELD
IL
Enumeration date
11/20/2007
Last updated
11/20/2007
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