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General NPI Number Information
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NPI Number | 1346447901
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Entity Type | Organization
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Legal Business Name | THE WELLNESS CENTER S.C.
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 203 N GRAND AVE W
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City | SPRINGFIELD
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State | IL
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Zip | 62702
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Country | US
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Telephone | 217-522-6500
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Fax | 217-753-3465
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Provider Business Mailing Address
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Address Line | 203 N GRAND AVE W
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City | SPRINGFIELD
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State | IL
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Zip | 62702-2550
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Country | US
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Telephone | 217-522-6500
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Fax | 217-159-3465
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. J LAURENCE MILLER
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Credential | D.C.
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Telephone | 217-522-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36076506
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State | IL
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