Crystal Lake Natural Health Care

NPI 1134556822 - Chiropractor - 111N00000X

NPI Details
NPI 1134556822
Enumeration Date 09/26/2013
Last Updated 09/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name AMANDA IRENE AMANDA
Position OWNER
Phone (312) 451-4961
Fax
Practice Location
30B N WILLIAMS ST
CRYSTAL LAKE IL, 60014, US
Phone (312) 451-4961
Fax
Business Location
807 POINTE DR
CRYSTAL LAKE IL, 60014-8024, US
Phone (312) 451-4961
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038011708
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According to our database, Crystal Lake Natural Health Care NPI is 1134556822, taxonomy code is 111N00000X and license number is 038011708, license state is located at Illinois. Crystal Lake Natural Health Care physically located at 30b N Williams St, Crystal Lake IL, 60014. NPI Number 1033115704 has the healthcare provider type.

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1134556822 NPI number is provided on an as is basis without warranty of any kind. 1134556822 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Lake Natural Health Care are for informational purposes only.