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 |