Organization
LONE STAR CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA A EWERS D.C. (OWNER)
(815) 341-5327
Entity
Organization
Contact information
Practice address
852 SHARP DR, UNIT J, SHOREWOOD, IL 60404-8843
(815) 341-5327
Mailing address
4319 TIMBER RIDGE CT, JOLIET, IL 60431-1705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012568
IL
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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