Northcoast Wellness Center LLC

NPI #1982006649 in Carol Stream, Illinois

Provider Information

NPI Number: 1982006649
Entity Type: Organization
Organization Name: Northcoast Wellness Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 24, 2014
Last Updated: Sep 24, 2014

Practice Location

Address: 224 W ARMY TRAIL RD
City: Carol Stream
State: Illinois
ZIP Code: 60188-9368
Phone: (630) 940-8830

Authorized Official

Name: DR. DOUGLAS TANSOR, D.C.
Title: OWNER
Phone: (630) 940-8830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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