Evolve Chiropractic PLLC
Chiropractor in St Charles, IL. Organization (NPI-2).
NPI number1013389014
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1013389014
- Entity type
- Organization (NPI-2)
- Legal business name
- Evolve Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2015
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038011574 | IL | Yes |
Practice location
451 Dunham RdSuite G
St Charles, IL 60174-1431
Phone 224-250-3526
Mailing address
451 Dunham RdSuite G
St Charles, IL 60174-1431
Phone 224-250-3526
Authorized official
Scott Cruse
Owner
2242503526
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All 86 Chiropractor providers in St Charles · All 1,465 providers in St Charles
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