Concord Natural & Nutritional Healthcare, PC
Chiropractor in Glen Ellyn, IL. Organization (NPI-2).
NPI number1104148733
StatusActive
Last updated in NPPESMar 9, 2012
Details
- NPI
- 1104148733
- Entity type
- Organization (NPI-2)
- Legal business name
- Concord Natural & Nutritional Healthcare, PC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2010
- Last updated
- Mar 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038.011509 | IL | Yes |
| 225100000X | Physical Therapist | 070.003626 | IL |
Practice location
800 Roosevelt RdB-418
Glen Ellyn, IL 60137-5839
Phone 630-474-9346 · Fax 630-474-9357
Mailing address
800 Roosevelt RdB-418
Glen Ellyn, IL 60137-5839
Phone 630-474-9346 · Fax 630-474-9357
Authorized official
Janice M. Hussong
Owner/Ceo
6309354530
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