Willareth Clinic Of Chiropractic Ltd.
Chiropractor in Morris, IL. Organization (NPI-2).
NPI number1013210152
StatusActive
Last updated in NPPESDec 13, 2010
Details
- NPI
- 1013210152
- Entity type
- Organization (NPI-2)
- Legal business name
- Willareth Clinic Of Chiropractic Ltd.
- Organization subpart
- No
- Enumeration date
- Dec 13, 2010
- Last updated
- Dec 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC38-3315 | IL | Yes |
Practice location
118 E. Jackson StMorris, IL 60450-1891
Phone 815-942-5350 · Fax 815-942-5414
Mailing address
118 E. Jackson StMorris, IL 60450-1891
Phone 815-942-5350 · Fax 815-942-5414
Authorized official
Glenn C Willareth
Pres
8159425350
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