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PREVENTIVE HEALTH & WEIGHT LOSS PC NPI 1093955668


NPI Information

NPI: 1093955668
Provider Name: PREVENTIVE HEALTH & WEIGHT LOSS PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
525 N MAIN ST
ANNA, IL
ZIP 62906
Phone: (618) 833-2179
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PREVENTIVE HEALTH & WEIGHT LOSS PC is a chiropractor in Anna, 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. PREVENTIVE HEALTH & WEIGHT LOSS PC NPI is 1093955668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

525 N MAIN ST
ANNA, IL
ZIP 62906-622
Phone: (618) 833-2179
Fax: (618) 833-4596

The provider's authorized official is Charles E Koester .
The authorized official title is President and has the following contact phone number (618) 833-2179.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 2/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038-010812ILLINOISYes

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: 4/28/2024

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