Organization
INTEGRATED NUTRITION AND CHIROPRACTIC CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY H SO DC (PRESIDENT)
(773) 793-6077
Entity
Organization
Contact information
Practice address
6518 N CLARK ST, CHICAGO, IL 60626-4002
(773) 793-6077
Mailing address
6518 N CLARK ST, CHICAGO, IL 60626-4002
(773) 793-6077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011175
IL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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