Withania Natural Health, Sc
Chiropractor in Crystal Lake, IL. Organization (NPI-2).
NPI number1649872003
StatusActive
Last updated in NPPESNov 11, 2020
Details
- NPI
- 1649872003
- Entity type
- Organization (NPI-2)
- Legal business name
- Withania Natural Health, Sc
- Organization subpart
- No
- Enumeration date
- Nov 11, 2020
- Certification date
- Nov 11, 2020
- Last updated
- Nov 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
820 E Terra Cotta Ave Ste 215Crystal Lake, IL 60014-3646
Phone 779-220-0208 · Fax 779-220-0849
Mailing address
820 E Terra Cotta Ave Ste 215Crystal Lake, IL 60014-3646
Phone 779-220-0208 · Fax 779-220-0849
Authorized official
Kelsey Louise Botterman
Owner, Physician
7792200208
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