White Oak Family Wellness, Sc

NPI 1568804136 - Chiropractor - 111N00000X

NPI Details
NPI 1568804136
Enumeration Date 07/24/2013
Last Updated 07/25/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PHILLIP A PHILLIP
Position CHIROPRACTIC PHYSICIAN, PRESIDENT
Phone (630) 442-0057
Fax (630) 791-0861
Practice Location
405 ILLINOIS AVE
#2B
ST CHARLES IL, 60174-2963, US
Phone (630) 442-0057
Fax (630) 791-0861
Business Location
405 ILLINOIS AVE
#2B
ST CHARLES IL, 60174-2963, US
Phone (630) 442-0057
Fax (630) 791-0861
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038012389
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According to our database, White Oak Family Wellness, Sc NPI is 1568804136, taxonomy code is 111N00000X and license number is 038012389, license state is located at Illinois. White Oak Family Wellness, Sc physically located at 405 Illinois Ave, St Charles IL, 60174-2963. NPI Number 1033115704 has the healthcare provider type.

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1568804136 NPI number is provided on an as is basis without warranty of any kind. 1568804136 is maintained by the National Plan & Provider Enumeration System. The contents of White Oak Family Wellness, Sc are for informational purposes only.