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1417387960
MICHIGAN AVE CHIROPRACTIC AND WELLNESS
CHICAGO, IL
NPI
1417387960
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Entity Type
Organization
Authorized Contact
THOMAS BLAKE KIVISTO
Owner
312-274-0711
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038012401)
Enumeration Date
2013-11-20
Last Update Date
2013-11-20
Business Address
MICHIGAN AVE CHIROPRACTIC AND WELLNESS
875 N MICHIGAN AVE STE 2519
CHICAGO, IL 60611-1803
Phone number: 312-274-0711
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Mailing Address
MICHIGAN AVE CHIROPRACTIC AND WELLNESS
875 N MICHIGAN AVE STE 2519
CHICAGO, IL 60611-1803
Phone number:
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