Leading Edge Health & Wellness Diagnostic Center

NPI 1043438476 - Chiropractor - 111N00000X

NPI Details
NPI 1043438476
Enumeration Date 04/23/2007
Last Updated 12/26/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRI JO TERRI
Position PRESIDENT
Phone (815) 941-5117
Fax (815) 941-5118
Practice Location
1013 LIBERTY ST
MORRIS IL, 60450-1510, US
Phone (815) 941-5117
Fax (815) 941-5118
Business Location
1013 LIBERTY ST
MORRIS IL, 60450-1510, US
Phone (815) 941-5117
Fax (815) 941-5118
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038010842
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According to our database, Leading Edge Health & Wellness Diagnostic Center NPI is 1043438476, taxonomy code is 111N00000X and license number is 038010842, license state is located at Illinois. Leading Edge Health & Wellness Diagnostic Center physically located at 1013 Liberty St, Morris IL, 60450-1510. NPI Number 1033115704 has the healthcare provider type.

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1043438476 NPI number is provided on an as is basis without warranty of any kind. 1043438476 is maintained by the National Plan & Provider Enumeration System. The contents of Leading Edge Health & Wellness Diagnostic Center are for informational purposes only.