Optimal Innate Life Energy Chiropractic Pc

NPI 1194132043 - Chiropractor - 111N00000X

NPI Details
NPI 1194132043
Enumeration Date 07/11/2014
Last Updated 07/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEFFREY JEFFREY
Position OWNER
Phone (815) 230-9070
Fax (815) 230-9334
Practice Location
23915 W MAIN ST
SUITE D
PLAINFIELD IL, 60544-1998, US
Phone (815) 230-9070
Fax (815) 230-9334
Business Location
23915 W MAIN ST
SUITE D
PLAINFIELD IL, 60544-1998, US
Phone (815) 230-9070
Fax (815) 230-9334
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038012498
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According to our database, Optimal Innate Life Energy Chiropractic Pc NPI is 1194132043, taxonomy code is 111N00000X and license number is 038012498, license state is located at Illinois. Optimal Innate Life Energy Chiropractic Pc physically located at 23915 W Main St, Plainfield IL, 60544-1998. NPI Number 1033115704 has the healthcare provider type.

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1194132043 NPI number is provided on an as is basis without warranty of any kind. 1194132043 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Innate Life Energy Chiropractic Pc are for informational purposes only.