Intentional Healing Chiropractic & Center for Well-Being PA

NPI #1023134731 in Oak Park, Illinois

Provider Information

NPI Number: 1023134731
Entity Type: Organization
Organization Name: Intentional Healing Chiropractic & Center for Well-Being PA
Primary Specialty: Chiropractor
Enumeration Date: Mar 22, 2007
Last Updated: Dec 4, 2008

Practice Location

Address: 949 LAKE ST
Address 2: UNIT F3
City: Oak Park
State: Illinois
ZIP Code: 60301-1260
Phone: (612) 202-2866

Authorized Official

Name: TAMARA ANN SUKUP, D.C.
Title: PRESIDENT
Phone: (612) 202-2866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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