Churchill Physical Health Center Sc in Joliet - Chiropractor

Churchill Physical Health Center Sc - NPI 1215058045

Churchill Physical Health Center Sc is a Chiropractor in Joliet, Illinois. Churchill Physical Health Center Sc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Churchill Physical Health Center Sc is 1215058045. The last update date is 2017-11-14.

Churchill Physical Health Center Sc's current location address is 823 N 129th Infantry Dr, Joliet, Illinois. You can contact this provider via phone number 8157413200 and fax number 8157418131. The mailing address for Churchill Physical Health Center Sc is 823 N 129th Infantry Dr, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Churchill Physical Health Center Sc
Address 823 N 129th Infantry Dr, Joliet, Illinois
Phone Number 8157413200
Fax Number 8157418131
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CO-OWNER
Authorized Official Name Cook Rhonda
Credentials D.C.
Telephone Number 8157413200

NPI Number Detail

NPI Number 1215058045
Provider Enumeration Date 2007-04-02
Last Updated Date 2017-11-14

Provider Mailing Address Detail

Address 823 N 129th Infantry Dr
City Joliet
State Illinois (IL)
Post Code 604358346
Phone Number 8157413200
Fax Number 8157418131

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38006857
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1639228539 IL NPI
1306995212 IL NPI
1619027224 IL NPI

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FAQs about Churchill Physical Health Center Sc

What is the unique provider identifier assigned to Churchill Physical Health Center Sc?

The Churchill Physical Health Center Sc has been issued the NPI (National Provider Identifier) 1215058045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Churchill Physical Health Center Sc's facilities are geographically located?

The facilities of Churchill Physical Health Center Sc are physically situated at the following location: 823 N 129Th Infantry Dr, Joliet, IL, 604358346.

What is the Churchill Physical Health Center Sc's specialty and taxonomy code?

The Churchill Physical Health Center Sc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Churchill Physical Health Center Sc receive the assignment of its 1215058045 from the Centers for Medicare & Medicaid Services?

The Churchill Physical Health Center Sc was issued its 1215058045 by the Centers for Medicare & Medicaid Services on 2007-04-02.

As of what date was the information regarding Churchill Physical Health Center Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Churchill Physical Health Center Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-11-14.

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