Adio Chiropractic Clinic Sc
Chiropractor in Libertyville, IL. Organization (NPI-2).
NPI number1104030964
StatusActive
Last updated in NPPESOct 30, 2013
Details
- NPI
- 1104030964
- Entity type
- Organization (NPI-2)
- Legal business name
- Adio Chiropractic Clinic Sc
- Organization subpart
- No
- Enumeration date
- May 10, 2007
- Last updated
- Oct 30, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 0380006958 | IL | Yes |
Practice location
316 Peterson RdLibertyville, IL 60048
Phone 847-816-3350 · Fax 847-816-6923
Mailing address
316 Peterson RdLibertyville, IL 60048
Phone 847-816-3350 · Fax 847-816-6923
Authorized official
Kathryn Rae Putts-Cantwell
President
8478163350
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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