Organization
ADVANCED SPORT AND WELLNESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KUDYBA D.C. (CHIROPRACTOR)
(630) 791-0058
Entity
Organization
Contact information
Practice address
1805 N MILL ST STE E, NAPERVILLE, IL 60563-4860
(630) 791-0058
Mailing address
1805 N MILL ST STE E, NAPERVILLE, IL 60563-4860
(630) 791-0058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
01/07/2019
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