Organization
KELLY CHIROPRACTIC AND WELLNESS CENTER S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN BUSHNELL (CLINIC DIRECTOR)
(773) 772-0007
Entity
Organization
Contact information
Practice address
1018 N CALIFORNIA AVE, CHICAGO, IL 60622-3408
(773) 772-0007
Mailing address
1018 N CALIFORNIA AVE, CHICAGO, IL 60622-3408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.007892
IL
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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