NPI | 1023340346 |
---|---|
Former Legal Business Name | LIFESOURCE HEALTH AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | LUKE P SENA Dc/Owner 630-690-4488 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006490) |
Enumeration Date | 2010-02-11 |
Last Update Date | 2023-03-09 |