Individual provider · Type 1 NPI
Brad P. Wilken, DC
Chiropractor · Highland, IL
NPI number
1053403790
Active
Practice location
1008 Walnut St
Highland, IL 62249-1542
Fax (618) 654-1567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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.
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About NPI 1053403790
Brad P. Wilken, DC's National Provider Identifier is 1053403790, issued on Sep 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Highland, IL. The record was last updated on Jul 8, 2007.