NPI 1093066003

Equilibrium Health and Wellness, LLC

Organisation Preferred Provider Organization Chicago, IL

Practice location

Address: 1509 S State St, Chicago, IL 60605-2804
Phone: (312) 344-1384
Fax: (312) 344-1457

Authorised official

Name: Jessica H Chan
Title: Chiropractor
Phone: (312) 344-1384

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 038012068 (IL)

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Registry record

NPI: 1093066003
Entity type: Organization
NPI issued: 1 Oct 2012
Record last updated: 14 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.