St. Charles Pain and Wellness Center, LLC
NPI #1225338353 in St Charles, Illinois
Provider Information
- NPI Number
- 1225338353
- Entity Type
- Organization
- Organization Name
- St. Charles Pain and Wellness Center, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 22, 2010
- Last Updated
- Oct 22, 2010
Practice Location
- Address
- 3755 E MAIN ST
- Address 2
- SUITE185
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-2463
- Phone
- (630) 513-7770
Authorized Official
- Name
- DR. JACOB MICHAEL HERTZ, D.C.
- Title
- OWNER
- Phone
- (563) 505-2402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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