Van Til Chiropractic, Inc.

NPI 1801994470 - Chiropractor - 111N00000X

NPI Details
NPI 1801994470
Enumeration Date 09/20/2006
Last Updated 04/03/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RICHARD CALVIN RICHARD
Position PRESIDENT
Phone (815) 929-9296
Fax (815) 929-9667
Practice Location
1054 SUPERIOR ST.
BRADLEY IL, 60915-2150, US
Phone (815) 929-9296
Fax (815) 929-9667
Business Location
1054 SUPERIOR ST.
BRADLEY IL, 60915-2150, US
Phone (815) 929-9296
Fax (815) 929-9667
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038-010127
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According to our database, Van Til Chiropractic, Inc. NPI is 1801994470, taxonomy code is 111N00000X and license number is 038-010127, license state is located at Illinois. Van Til Chiropractic, Inc. physically located at 1054 Superior St., Bradley IL, 60915-2150. NPI Number 1033115704 has the healthcare provider type.

1801994470 NPI number is provided on an as is basis without warranty of any kind. 1801994470 is maintained by the National Plan & Provider Enumeration System. The contents of Van Til Chiropractic, Inc. are for informational purposes only.