Organization
EAST WEST CHIROPRACTIC HEALTH CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN BASCHLEBEN D.C. (OWNER)
(815) 623-7694
Entity
Organization
Contact information
Practice address
11673 MAIN ST, ROSCOE, IL 61073-9549
(815) 623-7694
Mailing address
11673 MAIN ST, ROSCOE, IL 61073-9549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006935
IL
Other
Enumeration date
07/02/2007
Last updated
10/05/2009
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