is a Chiropractor in Glen Ellyn, Illinois. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1902063753. The last update date is .
's current location address is 430 Pennsylvania Ave, Glen Ellyn, Illinois. You can contact this provider via phone number 6304790187 and fax number 6305457892. The mailing address for is 430 Pennsylvania Ave, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 430 Pennsylvania Ave, Glen Ellyn, Illinois |
| Phone Number | 6304790187 |
| Fax Number | 6305457892 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902063753 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 430 Pennsylvania Ave |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601374464 |
| Phone Number | 6304790187 |
| Fax Number | 6305457892 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38011181 |
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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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