| NPI | 1073607016 |
|---|---|
| Doing Business As | GOLD COAST WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SARGON BENJAMIN ODISHO Owner 312-944-4653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010338) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |