Impact Sports Rehab & Chiropractic

NPI #1881135747 in Oswego, Illinois

Provider Information

NPI Number: 1881135747
Entity Type: Organization
Organization Name: Impact Sports Rehab & Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Mar 12, 2017
Last Updated: Apr 21, 2017

Practice Location

Address: 123 W WASHINGTON ST
Address 2: SUITE B10
City: Oswego
State: Illinois
ZIP Code: 60543-8214
Phone: (331) 215-7761

Authorized Official

Name: LINDSEY WIENCKOWSKI, D.C.
Title: CHIROPRACTOR/OWNER
Phone: (312) 215-7761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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