Organization · NPI-2
Moraine Valley Wellness Centers Chtd
Chiropractor · Hickory Hills, IL
NPI number1417928813
StatusActive
Last updated in NPPESOct 7, 2009
Details
- NPI
- 1417928813
- Entity type
- Organization (NPI-2)
- Legal business name
- Moraine Valley Wellness Centers Chtd
- Organization subpart
- No
- Enumeration date
- Feb 1, 2006
- Last updated
- Oct 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038004667 | IL | Yes |
Other names
- Moraine Valley Chiropractic Center (Doing Business As)
Practice location
8700 West 95th StreetSuite 2-3
Hickory Hills, IL 60457-2727
Phone 708-598-9010 · Fax 708-598-9013
Mailing address
8700 West 95th StreetSuite 2-3
Hickory Hills, IL 60457-2727
Phone 708-598-9010 · Fax 708-598-9013
Authorized official
Linda Lucienne Ehlers
Chiropractic Physician
7085989010
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