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WILDERMAN CHIROPRACTIC CENTER INC NPI 1780039586


NPI Information

NPI: 1780039586
Provider Name: WILDERMAN CHIROPRACTIC CENTER INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2416 BLOOMER DR
ALTON, IL
ZIP 62002
Phone: (618) 433-8913
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WILDERMAN CHIROPRACTIC CENTER INC is a chiropractor in Alton, 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. WILDERMAN CHIROPRACTIC CENTER INC NPI is 1780039586. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2416 BLOOMER DR
ALTON, IL
ZIP 62002-809
Phone: (618) 433-8913
Fax: (618) 433-8915

The provider's authorized official is Chrissy Linenfelser .
The authorized official title is Office Manager and has the following contact phone number (618) 433-8913.

The enumeration date for this NPI number is 4/29/2016 and was last updated on 4/29/2016.


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
1111N00000XChiropractor19553ILLINOISYes

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: 11/14/2023

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