Egil T Moen DC

NPI 1013971464 - Chiropractor - 111N00000X

NPI Details
NPI 1013971464
Gender Male
Enumeration Date 04/13/2006
Last Updated 09/17/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
18 12TH AVE
ORION IL, 61273, US
Phone (309) 526-8001
Fax (309) 526-8995
Business Location
PO BOX 508
ORION IL, 61273-0508, US
Phone (309) 526-8001
Fax (309) 526-8995
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 0380005678
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According to our database, Dr. Egil T Moen DC NPI is 1013971464, taxonomy code is 111N00000X and license number is 0380005678, license state is located at Illinois. Egil T Moen DC physically located at 18 12th Ave, Orion IL, 61273. NPI Number Egil T Moen DC has the Individual type.

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1013971464 NPI number is provided on an as is basis without warranty of any kind. 1013971464 is maintained by the National Plan & Provider Enumeration System. The contents of Egil T Moen DC are for informational purposes only.