| NPI | 1265198519 |
|---|---|
| Former Legal Business Name | ELAN WELLNESS SERVICE CORPORATION |
| Doing Business As | ELAN WELLNESS INTEGRATED MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ALLEN TRUHLAR President 815-557-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |