CHURCHILL PHYSICAL HEALTH CENTER SC NPI 1215058045

NPI Information

CHURCHILL PHYSICAL HEALTH CENTER SC is a chiropractor in Joliet, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CHURCHILL PHYSICAL HEALTH CENTER SC NPI is 1215058045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

823 N 129TH INFANTRY DR
JOLIET, IL
ZIP 60435-346
Phone: (815) 741-3200
Fax: (815) 741-8131

The provider's authorized official is Rhonda Cook .
The authorized official title is Co-owner and has the following contact phone number (815) 741-3200.

The CLIA number assigned to this NPI record is 14D2238079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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