Organization
IMPACT SPORTS REHAB & CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY WIENCKOWSKI D.C. (CHIROPRACTOR/OWNER)
(312) 215-7761
Entity
Organization
Contact information
Practice address
123 W WASHINGTON ST, SUITE B10, OSWEGO, IL 60543-8214
(331) 215-7761
(888) 360-8616
Mailing address
123 W WASHINGTON ST, SUITE B10, OSWEGO, IL 60543-8214
(331) 215-7761
(888) 360-8616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013074
IL
Other
Enumeration date
03/12/2017
Last updated
04/21/2017
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