Organization Name: | SUPERIOR HEALTH AND WELLNESS OF GURNEE, LTD |
NPI Number: | 1700157385 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODIE L SCHULTZ (OWNER) |
Mailing Address: | 495 N Riverside Dr Ste. 102 Gurnee |
State: | IL US |
Postal Code: | 600315908 |
Phone Number: | 8475999900 |
Fax Number: | 8475999901 |
NPI Enumeration Date: | 01/13/2012 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038010512 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |