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General NPI Number Information
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NPI Number | 1003352071
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Entity Type | Organization
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Legal Business Name | INTEGRATED WELLNESS CENTER
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 550 N MIDLOTHIAN RD SUITE 300
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City | MUNDELEIN
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State | IL
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Zip | 60060-1613
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Country | US
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Telephone | 847-445-1178
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Fax | 224-778-5491
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Provider Business Mailing Address
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Address Line | 550 N MIDLOTHIAN RD SUITE 300
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City | MUNDELEIN
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State | IL
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Zip | 60060-1613
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Country | US
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Telephone | 847-445-1178
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Fax | 224-778-5491
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. CHRISTOPHER JAMES HOKLAS
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Credential | D.C.
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Telephone | 847-445-1178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-008551
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License Number State | IL
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