Marty Chiropractic Wellness Center, P.C.
Chiropractor in Lostant, IL. Organization (NPI-2).
NPI number1750554010
StatusActive
Last updated in NPPESApr 8, 2008
Details
- NPI
- 1750554010
- Entity type
- Organization (NPI-2)
- Legal business name
- Marty Chiropractic Wellness Center, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 8, 2008
- Last updated
- Apr 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038-007528 | IL | Yes |
| 111N00000X | Chiropractor | 038-008297 | IL |
Practice location
1310 N Il Rt 251Lostant, IL 61334-0207
Phone 815-368-3421 · Fax 815-368-3404
Mailing address
1310 N Il Rt 251Lostant, IL 61334-0207
Phone 815-368-3421 · Fax 815-368-3404
Authorized official
Rhonda J Marty-Anderson
Co-Owner
8153683421
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