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Organization

ELEMENTAL CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAUREN KELLER DC (PRESIDENT)
(260) 415-8357
Entity
Organization

Contact information

Practice address
1449 W LAKE ST, SUITE B, ADDISON, IL 60101-1869
(260) 415-8357
Mailing address
4N109 ROBBIE LN, ADDISON, IL 60101-1409
(260) 415-8357

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012564
IL

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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