Organization
ADVANCED SPINE & JOINT REHABILITATION SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD DALE WASSON D.C. (PRESIDENT)
(630) 848-1708
Entity
Organization
Contact information
Practice address
1555 NAPERVILLE WHEATON RD, SUITE 206, NAPERVILLE, IL 60563-1557
(630) 848-1708
(630) 566-1585
Mailing address
1555 NAPERVILLE WHEATON RD, SUITE 109, NAPERVILLE, IL 60563-1557
(630) 848-1708
(630) 566-1585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038008808
IL
133VN1006X
Metabolic Nutrition Registered Dietitian
1640091972
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036043862
IL
Other
Enumeration date
08/28/2007
Last updated
05/21/2009
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