Organization Name: | ELEMENT PAIN AND WELLNESS CENTER |
NPI Number: | 1699053801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A WASCOW (CHIROPRACTOR) |
Mailing Address: | 2411 W Jefferson St Joliet |
State: | IL US |
Postal Code: | 604356448 |
Phone Number: | 8157443505 |
Fax Number: | 8157443506 |
NPI Enumeration Date: | 07/22/2011 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038.011596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |