Organization · Type 2 NPI

Concord Natural & Nutritional Healthcare, PC

Chiropractor · Glen Ellyn, IL

NPI number 1104148733 Active

Practice location

800 Roosevelt Rd, B-418
Glen Ellyn, IL 60137-5839

Fax (630) 474-9357

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038.011509 (IL)
Physical Therapist 225100000X070.003626 (IL)

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 1104148733

Concord Natural & Nutritional Healthcare, PC's National Provider Identifier is 1104148733, issued on Feb 24, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Mar 9, 2012.