THE WELLNESS SOURCE OF ROSCOE VILLAGE NPI 1215296124

NPI Information

THE WELLNESS SOURCE OF ROSCOE VILLAGE is a chiropractor in Chicago, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. THE WELLNESS SOURCE OF ROSCOE VILLAGE NPI is 1215296124. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1902 W BELMONT AVE
CHICAGO, IL
ZIP 60657-474
Phone: (224) 567-8580

The provider's authorized official is Dennis J Lopez .
The authorized official title is Managing Member and has the following contact phone number (224) 567-8580.

The enumeration date for this NPI number is 5/11/2012 and was last updated on 5/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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