Organization · Type 2 NPI

Patrick B. Whitaker, D.c., P.c.

Chiropractor · Rockford, IL

NPI number 1104190503 Active

Practice location

129 Phelps Ave, Suite 316
Rockford, IL 61108-2453

Fax (815) 229-0942

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone 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 1104190503

Patrick B. Whitaker, D.c., P.c.'s National Provider Identifier is 1104190503, issued on Mar 2, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Rockford, IL. The record was last updated on Mar 2, 2012.