Foley Physical Medicine Llc

NPI 1700163441 - Chiropractor - 111N00000X

NPI Details
NPI 1700163441
Enumeration Date 11/09/2011
Last Updated 11/09/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NATHAN LEE NATHAN
Position MBR LLC
Phone (815) 717-8646
Fax
Practice Location
1215 N CEDAR RD
SUITE 1
NEW LENOX IL, 60451-1293, US
Phone (815) 717-8646
Fax
Business Location
1215 N CEDAR RD
SUITE 1
NEW LENOX IL, 60451-1293, US
Phone (815) 717-8646
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038011949
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According to our database, Foley Physical Medicine Llc NPI is 1700163441, taxonomy code is 111N00000X and license number is 038011949, license state is located at Illinois. Foley Physical Medicine Llc physically located at 1215 N Cedar Rd, New Lenox IL, 60451-1293. NPI Number 1033115704 has the healthcare provider type.

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1700163441 NPI number is provided on an as is basis without warranty of any kind. 1700163441 is maintained by the National Plan & Provider Enumeration System. The contents of Foley Physical Medicine Llc are for informational purposes only.