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1063839488
THE WELLNESS SOURCE OF TEDDIE KOSSOF, INC
CHICAGO, IL
NPI
1063839488
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Entity Type
Organization
Authorized Contact
DENNIS J LOPEZ
Owner
312-848-5668
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038010594)
Enumeration Date
2014-03-24
Last Update Date
2016-01-27
Business Address
THE WELLNESS SOURCE OF TEDDIE KOSSOF, INC
3324 N HALSTED ST
CHICAGO, IL 60657-2413
Phone number: 312-848-5668
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Mailing Address
THE WELLNESS SOURCE OF TEDDIE KOSSOF, INC
3324 N HALSTED ST
CHICAGO, IL 60657-2413
Phone number: 773-906-9265
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