SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC

CHICAGO, IL
NPI1629539291
Entity TypeOrganization
Authorized ContactKEITH OLDING
Chiropractor
419-628-4003
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2019-03-27
Last Update Date2019-05-08
Business Address
SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC
1209 W GRACE ST
CHICAGO, IL 60613-2805
Phone number: 772-525-2225
Mailing Address
SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC
1209 W GRACE ST STE 1
CHICAGO, IL 60613-2805
Phone number: 772-525-2225