Shaeli Waggoner D.C.

NPI 1194004689 - Chiropractor - 111N00000X

NPI Details
NPI 1194004689
Gender Female
Enumeration Date 08/15/2011
Last Updated 08/15/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
6830 JUNEBERRY AVE
WOODRIDGE IL, 60517-1707, US
Phone (563) 320-5670
Fax
Business Location
6830 JUNEBERRY AVE
WOODRIDGE IL, 60517-1707, US
Phone (563) 320-5670
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038010540
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According to our database, Dr. Shaeli Waggoner D.C. NPI is 1194004689, taxonomy code is 111N00000X and license number is 038010540, license state is located at Illinois. Shaeli Waggoner D.C. physically located at 6830 Juneberry Ave, Woodridge IL, 60517-1707. NPI Number Shaeli Waggoner D.C. has the Individual type.

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1194004689 NPI number is provided on an as is basis without warranty of any kind. 1194004689 is maintained by the National Plan & Provider Enumeration System. The contents of Shaeli Waggoner D.C. are for informational purposes only.