Leading Edge Health & Wellness Diagnostic Center in Morris - Chiropractor
Leading Edge Health & Wellness Diagnostic Center - NPI 1043438476
Leading Edge Health & Wellness Diagnostic Center is a Chiropractor in Morris, Illinois. Leading Edge Health & Wellness Diagnostic Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Leading Edge Health & Wellness Diagnostic Center is 1043438476. The last update date is 2008-12-26.
Leading Edge Health & Wellness Diagnostic Center's current location address is 1013 Liberty St, Morris, Illinois. You can contact this provider via phone number 8159415117 and fax number 8159415118. The mailing address for Leading Edge Health & Wellness Diagnostic Center is 1013 Liberty St, Morris, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leading Edge Health & Wellness Diagnostic Center |
|---|---|
| Address | 1013 Liberty St, Morris, Illinois |
| Phone Number | 8159415117 |
| Fax Number | 8159415118 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gillette Jo Terri |
| Credentials | DC |
| Telephone Number | 8159415117 |
NPI Number Detail
| NPI Number | 1043438476 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2008-12-26 |
Provider Mailing Address Detail
| Address | 1013 Liberty St |
|---|---|
| City | Morris |
| State | Illinois (IL) |
| Post Code | 604501510 |
| Phone Number | 8159415117 |
| Fax Number | 8159415118 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38010842 |
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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 |
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What is the unique 10-digit identifier code issued to Leading Edge Health & Wellness Diagnostic Center by the Centers for Medicare & Medicaid Services?
The Leading Edge Health & Wellness Diagnostic Center has been assigned the NPI (National Provider Identifier) 1043438476 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Leading Edge Health & Wellness Diagnostic Center is located?
The Leading Edge Health & Wellness Diagnostic Center is situated at the following address: 1013 Liberty St, Morris, IL, 604501510.
What is Leading Edge Health & Wellness Diagnostic Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Leading Edge Health & Wellness Diagnostic Center is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043438476 to Leading Edge Health & Wellness Diagnostic Center?
The Leading Edge Health & Wellness Diagnostic Center received its 1043438476 assignment from the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date was the information regarding Leading Edge Health & Wellness Diagnostic Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leading Edge Health & Wellness Diagnostic Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-26.
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