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HEALING WATERS CHIROPRACTIC AND ORTHOPEDICS LLC NPI 1588166854


NPI Information

NPI: 1588166854
Provider Name: HEALING WATERS CHIROPRACTIC AND ORTHOPEDICS LLC

Other Name: HEALING WATERS CHIROPRACTIC LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
300 SUMMIT ST
GALENA, IL
ZIP 61036
Phone: (815) 776-7610
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HEALING WATERS CHIROPRACTIC AND ORTHOPEDICS LLC is a clinic center in Galena, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALING WATERS CHIROPRACTIC AND ORTHOPEDICS LLC NPI is 1588166854. The provider is registered as an organization entity type.
The provider Other Name Is Healing Waters Chiropractic Llc.

The provider's business location address is:

300 SUMMIT ST
GALENA, IL
ZIP 61036-638
Phone: (815) 776-7610

The provider's authorized official is Agnieszka Cluchey .
The authorized official title is Owner and has the following contact phone number (815) 776-7610.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 6/1/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center038.011701ILLINOISYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11346560752OTHERILLINOISMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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