OPTIMAL WELLNESS CHIROPRACTIC LTD
Ambulatory Health at Western Ave, Chicago, IL

License number
Illinois 038012045
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. NICOLE DESIREE BEAVERS DC
Title: PRESIDENT/CHIROPRACTIC PHYSICIAN
Phone: (773) 454-8431
Address
Address
4614 S Western Ave, Chicago, IL 60609
National Provider ID: 1912256900
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OPTIMAL WELLNESS CHIROPRACTIC LTD at bizstanding.com

Optimal Wellness Chiropractic Ltd

4614 S Western Ave, Chicago, IL 60609

Industry:
Chiropractor's Office, Offices and Clinics of Chiropractors

OPTIMAL WELLNESS CHIROPRACTIC LTD

Chicago, IL 60629

Registration:
Aug 30, 2012
State ID:
68477484
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Varsha Pancholi,200 N Washington St 201, Naperville, IL 60540 (Physical)

Ambulatory Health licenses in Illinois










Other Doctors licenses in Illinois